Zhang Yuqiong, Gao Guoxi
Department of Emergency Trauma Surgery, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang, Henan 471000, P.R. China.
Department of Orthopedics, The First People's Hospital of Yunnan Province, Kunming, Yunnan 650032, P.R. China.
Exp Ther Med. 2025 May 6;30(1):127. doi: 10.3892/etm.2025.12877. eCollection 2025 Jul.
Coccyx fracture-dislocation is a common injury encountered in emergency trauma surgery, often resulting from direct impact. For the majority of patients, conservative treatment is recommended and can alleviate the pain associated with the injury. However, some patients respond poorly to conservative therapy and develop chronic, intractable sacrococcygeal pain. Advancements in clinical practice have resulted in the development of various treatment modalities for coccyx fracture-dislocation, including pulsed radiofrequency therapy, extracorporeal shockwave therapy, local drug injections, surgical treatments and conventional lateral recumbency combined with oral analgesia. The present review summarizes the literature on coccyx fracture-dislocation, including information on its epidemiology, anatomy, etiology, diagnosis and treatment. The aim of the review is to serve as a reference for the clinical diagnosis and treatment of coccyx fracture-dislocation.
尾骨骨折脱位是急诊创伤手术中常见的损伤，通常由直接撞击引起。对于大多数患者，建议采用保守治疗，这种治疗可以减轻与损伤相关的疼痛。然而，一些患者对保守治疗反应不佳，会发展为慢性、顽固性骶尾骨疼痛。临床实践的进步促使了多种尾骨骨折脱位治疗方式的发展，包括脉冲射频治疗、体外冲击波治疗、局部药物注射、手术治疗以及传统的侧卧位联合口服镇痛。本综述总结了关于尾骨骨折脱位的文献，包括其流行病学、解剖学、病因学、诊断和治疗方面的信息。该综述的目的是为尾骨骨折脱位的临床诊断和治疗提供参考。
