JRM
Journal of Radiology in Medicine

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3023-6487
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Original Article
Retrospective evaluation of coccygeal fractures: clinical features and radiological findings from a single-centre study
Abstract
Aims: This study aims to evaluate the demographic, epidemiological, and radiological characteristics of patients diagnosed with coccyx fractures in the emergency department.
Methods: Patients who presented between October 2022 and January 2025 and were diagnosed with coccygeal fractures in the emergency department were retrospectively evaluated. Patient variables analysed included age, sex, season of presentation, mechanism of trauma, type(s) of radiological investigations performed, and the presence of any accompanying injuries.
Results: 105 patients were included in the study, the mean patient age was 46.00?±?18.45 years (range: 18–82 years). Of the patients, 41.9% were female and 58.1% were male. The highest incidence of presentation occurred during the winter season, accounting for 50.5% (n=53) of cases. The most prevalent trauma mechanism was ground-level falls, observed in 51.4% (n=54) of patients. Direct radiography was performed in 55.2% (n=58) of cases. The most common associated injury was pelvic or sacral trauma, noted in 52.6% (n=10) of patients with concomitant injuries. No statistically significant differences were identified between male and female patients regarding age, trauma mechanisms, or the presence of accompanying injuries (p>0.05 for all comparisons).
Conclusion: Recognising the clinical features of coccyx fractures is essential for informing the development of targeted preventive strategies in vulnerable populations. The current national literature on coccyx fractures remains limited; hence, the presented data are anticipated to contribute valuable insights to the national trauma database.

Keywords : Coccyx fracture, trauma, emergency department

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1. Mostafa E, Varacallo MA. Anatomy, Back, Coccygeal Vertebrae. 2023 Jun 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. PMID: 31751060.
2. Tetiker H, Koşar MI, Çullu N, et al. MRI-based detailed evaluation of the anatomy of the human coccyx among Turkish adults. Niger J Clin Pract. 2017;20(2):136-142. doi:10.4103/1119-3077.198313
3. Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J. 2014;14(1): 84-87.
4. Guneri B, Gungor G. Morphological features of the coccyx in the Turkish population and interrelationships among the parameters: a computerized tomography-based analysis. Cureus. 2021;13(11):e19687. doi:10.7759/cureus.19687
5. Maigne JY, Doursounian L, Chatellier G. Causes and mechanisms of common coccydynia: role of body mass index and coccygeal trauma. Spine (Phila Pa 1976). 2000;25(23):3072-3079. doi:10.1097/00007632-200012010-00015
6. Won H, Moon SY, Park JH, et al. Epidemiology and risk factors of coccyx fracture: a study using national claim database in South Korea. Injury. 2020;51(10):2278-2282. doi:10.1016/j.injury.2020.07.019
7. Zhou PA, Zhang H, Nie Y, Zhang Y, Wang Y. Advances in the research field of osteoporosis in cold areas. Frigid Zone Medicine,2022;2(1):1-9. doi:10.2478/fzm-2022-0001
8. Alhubaishi L, Flayyih R, Adan H, et al. Intrapartum coccygeal fracture in a young female: a case of prolonged postpartum coccygodynia. Cureus. 2025;17(1):e77233. doi:10.7759/cureus.77233
9. Hanna TN, Sadiq M, Ditkofsky N, et al. Sacrum and coccyx radiographs have limited clinical impact in the emergency department. AJR Am J Roentgenol. 2016;206(4):681-686. doi:10.2214/AJR.15.15095
10. Almansouri DH, Elsherbini AI, Alharthi M, ALotaibi S, Alshehri L. The role of MRI and CT scan in classification and management of pelvic fractures: a systematic review. Cureus. 2024;16(1):e52215. doi:10.7759/cureus.52215
11. Rahman R, Yagi N, Hayashi K, Maruo A, Muratsu H, Kobashi S. Enhancing fracture diagnosis in pelvic X-rays by deep convolutional neural network with synthesized images from 3D-CT. Sci Rep. 2024; 14(1):8004. doi:10.1038/s41598-024-58810-4
12. Fiolin J, Pontoh LAP, Dilogo IH. Management of complex pelvic fracture with associated both column acetabular fracture judet-letournel type and a coccygeal fracture in a severe polytrauma patient. Case Rep Orthop Res. 2021;4(2):192-201. doi:10.1159/000515563
13. Beckmann N, Cai C. CT characteristics of traumatic sacral fractures in association with pelvic ring injuries: correlation using the Young-Burgess classification system. Emerg Radiol. 2017;24(3):255-262. doi:10. 1007/s10140-016-1476-0
14. Park YS, Baek SW, Kim HS, Park KC. Management of sacral fractures associated with spinal or pelvic ring injury. J Trauma Acute Care Surg. 2012;73(1):239-242. doi:10.1097/TA.0b013e31825a79d2
15. Tekin L, Yilmaz B, Alaca R, Ozçakar L, Dinçer K. Coccyx fractures in patients with spinal cord injury. Eur J Phys Rehabil Med. 2010;46(1):43-46.
16. Cawley DT, Power F, Murphy M. Cerebrospinal fluid leak after coccyx fracture. Spine J. 2016;16(11):e735-e736. doi:10.1016/j.spinee.2016.03.055
17. Foye PM, Singh R, Tangri V. Cerebrospinal fluid leak after fracture of the sacrum or coccyx. Spine J. 2019;19(12):2044. doi:10.1016/j.spinee.2019. 07.018
Article available in :
Volume 2, Issue 2, 2025
Page : 27-31
https://doi.org/10.51271/JRM-0027
Article Information
Received : 01 Nis 2025
Accepted : 17 Nis 2025
Published : 26 Nis 2025
Corresponding Author :

İhsaniye Süer Doğan: Department of Radiology, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Süer Doğan İ, Kavak N. Retrospective evaluation of coccygeal fractures: clinical features and radiological findings from a single-centre study. J Radiol Med. 2025;2(2):27-31.

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