Bilateral sacroiliac joint fracture-dislocation requiring late coccygectomy: a case report.
Associated injuries often prevent aggressive management of bilateral sacroiliac fracture-dislocations, although excellent results have been reported with nonsurgical treatment. We report a case of bilateral sacroiliac joint fracture-dislocation in a patient with multiple injuries which was managed with the placement of an external fixation frame. This patient developed a prominent and painful coccyx and ultimately required a coccygectomy. The excellent final result demonstrates the therapeutic role of coccygectomy as a late treatment for this injury.
O'Keefe
R J
RJ
Department of Orthopaedics, University of Rochester School of Medicine, New York 14642.
Jones
J A
JA
Hurwitz
S R
SR
D000062:Accidents, Occupational; D000328:Adult; D003050:Coccyx / Q000601:surgery*; D016267:External Fixators; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D005684:Gait; D006801:Humans; D007085:Ilium / Q000293:injuries*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D011630:Pubic Bone / Q000293:injuries*; D011859:Radiography; D012446:Sacroiliac Joint / Q000293:injuries*