Tailbone Pain from Coccyx Injuries on Water Slides: A Case Series

Foye, Patrick M.; Abdelshahed, Dena; Kamrava, Evish; Enriquez, Renee; D'onofrio, G

doi:10.1016/j.jemermed.2018.04.033

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…As a whole, water slide injuries have been described only scarcely. Yet, in the few studies that described orthopedic injuries, some, such as adult pelvic fractures, have been attributed to a hyper-abduction mechanism, with inter-person collision being described as a possible catalyst, as might have occurred in our cases [ 9 , 10 , 11 , 12 , 13 , 14 ].…”

Section: Discussionmentioning

confidence: 85%

Pediatric Femoral Neck Fractures after Sliding in a Water Slide: A Case Report of Two Patients

Rinat

Bor

Dujovny

et al. 2021

JOCR

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Introduction: In contrast to adults, fractures of the neck of femur in children are relatively rare. The commonly described mechanism of injury is high energy trauma. Treatment options are almost always surgical. Prognosis, which entails relatively high rates of complications, varies with specific anatomic location, time to surgery, and reduction quality. Case Report: We describe two cases of 10- and 12-year-old girls who suffered a fracture of the neck of the femur, Delbet Type II and Type III, respectively, due to a suspected hyper-abduction injury while sliding on a water slide. Both patients were treated surgically, with the younger one developing signs of femoral head avascular necrosis a year postoperatively. Conclusion: Children with pain and an inability to bear weight after water sliding together with an adult companion at their backs should raise suspicion among medical staff of a femoral neck fracture. Prompt pediatric orthopedic consultation and treatment are needed in case of fracture diagnosis to reduce the risk of complications. Keywords: Avascular necrosis, child, femoral neck fracture.

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Section: Discussionmentioning

confidence: 85%

Pediatric Femoral Neck Fractures after Sliding in a Water Slide: A Case Report of Two Patients

Rinat

Bor

Dujovny

et al. 2021

JOCR

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“…Coccydynia is typically chronic and may have a triggering cause that is difficult to identify, although a history of direct injury to the coccyx and immediate onset of coccygeal pain suggests a causal link between coccygeal pain and trauma from waterslides (and water channels). These cases indicate that coccygeal trauma from waterslides can exacerbate existing coccygeal pain or cause newonset coccygeal pain in previously asymptomatic individuals [8]. High-energy trauma with anterior coccyx displacement may be accompanied by cerebrospinal fluid leakage and bladder dysfunction; here, surgical intervention could decompress and stabilize the contused neural structures [9].…”

Section: Traumamentioning

confidence: 99%

Imaging findings and treatment in coccydynia – update of the recent study findings

Sukun,

Cankurtaran,

Agildere

et al. 2023

Rofo

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Background Coccydynia is one of the most overlooked symptoms in clinical practice. The diagnosis and radiologic findings of traumatic coccyx can be more easily detected unless it is delayed and postponed. For idiopathic coccydynia, which accounts for one third of cases, patients present with long-standing pain and multiple physician visits. Method The keywords coccyx, coccydynia, coccygodynia were searched in PubMed, Embase, Scopus databases in the last 5 years. Research articles, reviews and case reports were analyzed. The studies conducted in the last 5 years were presented under the headings of etiology, radiologic assessment, interventional and surgical treatments. Results and Conclusion The first step is dynamic X-ray of the coccyx in standing and sitting position. In this way, morphologic parameters and hypermobility causing idiopathic coccydynia can be evaluated. Morphologic and morphometric features of the coccyx described in previous CT and MR studies have explained the relationship with coccydynia. The key features are as follows: Type II coccyx morphology, subluxation of the intercoccygeal joint, presence of bony spicules. Knowledge of these definitions as well as the differential diagnosis in this anatomical region will help in reaching the correct diagnosis. The treatment of coccydynia is stepwise like the diagnosis. Conservative treatments are initiated first. Manipulations, ganglion impar block, injections, radiofrequency and shock treatments and finally coccygectomy are treatment methods reported. Radiologists should not overlook this region and should be familiar with the coccyx’s morphologic appearance and the sacrococcygeal region’s differential diagnosis. Key points:

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Tailbone Pain from Coccyx Injuries on Water Slides: A Case Series

Cited by 2 publications

References 4 publications

Pediatric Femoral Neck Fractures after Sliding in a Water Slide: A Case Report of Two Patients

Pediatric Femoral Neck Fractures after Sliding in a Water Slide: A Case Report of Two Patients

Imaging findings and treatment in coccydynia – update of the recent study findings

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