Idiopathic Coccygodynia Lateral Roentgenograms in the Sitting Position and Coccygeal Discography

Maigne, Jean-Yves; Guedj, Stéphane; Straus, C.

doi:10.1097/00007632-199404150-00011

Cited by 119 publications

(103 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Based on the objective evidence of degeneration as a cause of pain, assessment of the disc space using a discogram to reproduce the pain appears to be a more valid evaluation tool. Maigne et al 9 reported that coccygeal discography succeeded technically in 44 of 51 cases, and was positive in all cases with subluxation or hypermobility. Half of the patients in this investigation with normal dynamic films had a positive discogram.…”

Section: Radiological Featuresmentioning

confidence: 98%

“…11 Schapiro, 11 in 1950, described the disorder as 'television disease', because poor postural adaptation was thought to be an important predisposing factor of coccydynia. Maigne et al 9 reported that 36 of 51 patients had a history of direct trauma, and Pennekamp et al 7 reported a 50% incidence of direct trauma. Depending on the severity of the trauma, patients experience strain to the pelvic floor muscles, mild distortion without bony or ligamentous damage over a fissure in the caudal coccygeal segments, or a severely dislocated fracture of the sacrococcygeal complex.…”

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

“…Maigne et al 9 classified coccygeal mobility into four groups: luxation-backward displacement of the mobile portion of the coccyx when the patient is sitting; hypermobility, where coccygeal flexion exceeds 25° when the patient is sitting; immobile coccyx with < 5° of flexion or extension when the patient is sitting; and normal mobility, where coccygeal mobility is between 5° and 25°. Luxation and hypermobility are abnormal by themselves, and the immobile coccyx associated with spicules due to the formation of bursa is an anatomical cause of coccydynia.…”

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

“…Maigne et al 9 suggested that common coccygeal pain may be discogenic in origin, based on findings of provocative discography. In his series, 15 of 21 patients yielded a positive result on provocative discography, and 25% had coccygeal luxation in the sitting position which was reducible in other positions.…”

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

“…Maigne et al 9 were the first to describe coccygeal discogra-phy, a procedure similar to lumbar discography. Based on the objective evidence of degeneration as a cause of pain, assessment of the disc space using a discogram to reproduce the pain appears to be a more valid evaluation tool.…”

Section: Radiological Featuresmentioning

confidence: 99%

See 4 more Smart Citations

Coccydynia

Nathan

Fisher

Roberts

2010

The Journal of Bone and Joint Surgery. British volume

119

View full text Add to dashboard Cite

Coccydynia is a painful disorder characterised by coccygeal pain which is typically exaggerated by pressure. It remains an unsolved mystery because of the perceived unpredictability of the origin of the pain, some psychological traits that may be associated with the disorder, the presence of diverse treatment options, and varied outcomes. A more detailed classification based on the aetiology and pathoanatomy of coccydynia helps to identify patients who may benefit from conservative and surgical management.This review focuses on the pathoanatomy, aetiology, clinical features, radiology, treatment and outcome of coccydynia.Pain in the region of the coccyx is referred to as coccydynia or coccygodynia. A convoluted literature exists on its aetiology and management. The term coccydynia was first used by Simpson 1 in 1859, but descriptions of pain in the terminal portion of the spine date back to at least the 16th and 17th centuries.

show abstract

Section: Radiological Featuresmentioning

confidence: 98%

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

Section: Radiological Featuresmentioning

confidence: 99%

See 3 more Smart Citations

Coccydynia

Nathan

Fisher

Roberts

2010

The Journal of Bone and Joint Surgery. British volume

119

View full text Add to dashboard Cite

show abstract

Coccygodynia

Patijn¹,

Janssen²,

Hayek³

et al. 2011

Evidence‐Based Interventional Pain Medicine

View full text Add to dashboard Cite

An Anatomical and Morphometric Study of the Coccyx Using Three‐Dimensional Reconstruction

Lee

Gil

Shin

et al. 2015

The Anatomical Record

View full text Add to dashboard Cite

To provide anatomical and morphological data regarding the coccyx using three-dimensional images, with a view to aiding the diagnosis of idiopathic coccydynia, one hundred and thirty-six normal adult pelvises were investigated. Three-dimensional models of the pelvis were reconstructed using software from computed tomography images of whole specimens. The following six coccyx parameters were measured: (1) width, (2) straight length, (3) thickness, (4) sacrococcygeal angle, (5) intercoccygeal angle, and (6) angle of lateral deviation of the coccyx. The presence of fusion between the sacral and coccygeal cornua, and between the sacrum and the transverse process of the coccyx was also investigated, and lateral deviations of the coccyx were classified and analyzed. Most of the measured coccyx parameters were larger in males than in females, with the exception of the sacrococcygeal and intercoccygeal angles. Unilateral or bilateral fusion of the sacral cornu and the coccygeal cornu was not a rare finding. With respect to the sacrum and the transverse process of coccyx, the separated type was more common than the fused type. The incidence and angle of lateral deviation of the coccyx varied widely between individuals. The present detailed description of the gross anatomy of the coccyx obtained using three-dimensional modeling will help toward understanding the mechanism underlying the development of idiopathic coccydynia. Fusion of the sacrum and coccyx or lateral deviation of the coccyx may cause coccydynia by compressing the coccygeal nerves. Anat Rec, 299:307-312, 2016. V C 2015 Wiley Periodicals, Inc.

show abstract

Idiopathic Coccygodynia Lateral Roentgenograms in the Sitting Position and Coccygeal Discography

Cited by 119 publications

References 0 publications

Coccydynia

Coccydynia

Coccygodynia

An Anatomical and Morphometric Study of the Coccyx Using Three‐Dimensional Reconstruction

Contact Info

Product

Resources

About