select PMID, numCitations, impactFactor from LINK_AUTHORS_PMID where PMID IN ('30508406','30396497','30195465','30123786','30065494','30065057','29969959','29966953','29872588','29854470','29784473','29682021','29644276','29616299','29605125','29556817','29260897','29234884','29184711','29072775','28933804','28905802','28750995','28676363','28442929','28386714','28370691','28160759','28072438','28044205','28034983','27843777','27746253','27684866','29282954','27565640','27525144','27383137','27274412','27225737','27221551','27037436','26913511','26805547','26649554','26427837','26191277','25801345','25731355','25637321') AND (numCitations > 0 OR impactFactor is not null) order by numCitations DESC, impactFactor DESCselect PMID, numCitations, impactFactor from LINK_AUTHORS_PMID where PMID IN ('30522078','30508406','30455575','30420154','30412055','30411215','30396497','30392128','30283205','30232956','30195465','30140939','30137809','30136275','30123786','30098582','30098037','30088855','30078891','30065494','30065057','30051446','30006838','29969959','29966953','29872588','29854470','29850949','29784473','29773438','29738293','29714819','29707680','29706703','29682021','29644276','29616299','29605125','29556817','29500087','29489277','29483606','29481326','29394832','29260897','29234884','29230985','29229485','29229278','29205969') AND (numCitations > 0 OR impactFactor is not null) order by numCitations DESC, impactFactor DESC Coccyx Pain Publications | PubFacts

1,411 results match your criteria Coccyx Pain


A giant sacrococcygeal teratoma in adult female: A case report.

Int J Surg Case Rep 2018 Nov 22;54:47-50. Epub 2018 Nov 22.

Department of General Surgery, King Abdulla University Hospital, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box (3030), Irbid, 22110, Jordan. Electronic address:

Introduction: Sacrococcygealteratoma is very rare in adults with only few cases reported in literature. It is a slow growing benign cystic tumor with 1-2% chance for malignant transformation and may attain a huge size causing pressure effect on pelvic and intra-abdominal organs. When grows caudally, it causes discomfort, skin excoriation and cosmetic disfigurement. Read More

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November 2018
3 Reads

Intravenous Lidocaine Administered as Twice Daily Bolus and Continuous Infusion for Intractable Cancer Pain and Wound Care Pain.

J Palliat Med 2018 Dec 1. Epub 2018 Dec 1.

3 Spectrum Health Medical Group , Palliative Care Medicine, Grand Rapids, Michigan.

Introduction: Intravenous lidocaine is an option for intractable pain caused by advancing cancer and wound care. We report a case of intractable cancer pain and wound care pain managed with concurrent use of lidocaine administered as a twice daily intravenous bolus in addition to continuous intravenous infusion.

Case Description: A 31-year-old male with rapidly progressing locally advanced squamous cell cancer affecting the gluteal area developed extensive painful and purulent ulcerating wounds affecting the coccyx, superior gluteal cleft, and buttocks. Read More

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December 2018
2 Reads

Choosing Wisely Canada: Pediatric Neurosurgery Recommendations.

Paediatr Child Health 2018 Sep 1;23(6):383-387. Epub 2018 Mar 1.

Division of Neurosurgery, Hospital For Sick Children, Toronto, Ontario.

Objectives: Choosing Wisely Canada is an evidence-based, patient-focused, physician-led campaign to improve the delivery of medical care in Canada. The goal of this study was to produce Canadian recommendations for physicians treating patients with selected paediatric neurosurgery issues.

Methods: Paediatric neurosurgeons practicing in Canada were invited to participate. Read More

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September 2018
4 Reads

Evaluation of anatomical landmarks for transanal total mesorectal excision based on MRI.

Asian J Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Gastroenterological Surgery, Peking University People's Hospital, Beijing, 100044, PR China; Laboratory of Surgical Oncology, Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People's Hospital, Beijing, 100044, PR China.

Background: Transanal total mesorectal excision (taTME) is a novel sphincter-preserving procedure for low rectal cancer. This "bottom to up" approach is unfamiliar to colorectal surgeons and the crucial anatomical landmarks also remain unclear.

Methods: Two hundred and five cases of pelvic magnetic resonance imaging (MRI) from 2015 to 2016 were reviewed. Read More

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November 2018
4 Reads

A Retrospective, Descriptive Analysis of Hospital-acquired Deep Tissue Injuries.

Ostomy Wound Manage 2018 Nov;64(11):30-41

Skin Population, Department of Nursing, Mayo Clinic, Rochester, MN.

Preventing, identifying, and treating deep tissue injury (DTI) remains a challenge.

Purpose: The purpose of the current research was to describe the characteristics of DTIs and patient/care variables that may affect their development and outcomes at the time of hospital discharge.

Methods: A retrospective, descriptive, single-site cohort study of electronic medical records was conducted between October 1, 2010, and September 30, 2012, to identify common demographic, intrinsic (eg, mobility status, medical comorbidities, and incontinence), extrinsic (ie, surgical and procedural events, medical devices, head-of-bed elevation), and care and treatment factors related to outcomes of hospital-acquired DTIs; additional data points related to DTI development or descriptive of the sample (Braden Scale scores and subscale scores, hospital length of stay [LOS], intensive care unit [ICU] LOS, days from admission to DTI, time in the operating room, serum albumin levels, support surfaces/specialty beds, and DTI locations) also were retrieved. Read More

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November 2018
8 Reads

A new affordable and easy-to-make pelvic model for training in complex urogynecological laparoscopic procedures.

Int Urogynecol J 2018 Nov 8. Epub 2018 Nov 8.

Department of General Gynecology and Urogynecology, Clinic for Gynecology and Perinatology, University Medical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia.

Introduction And Hypothesis: Our aim was to introduce a new affordable and easy-to-make pelvic model for training in complex urogynecological laparoscopic procedures.

Methods: We modified a commercial female pelvic model consisting of sacrum, coccyx, two hip bones, the pubic symphysis, the fifth lumbar vertebra with intervertebral disc, and certain pelvic ligaments. We used sponge foam paper, felt fabric pieces, chenille stems, foam, plastic ties, fabric glue, and a thick, coated wire to create pelvic floor, uterus/vaginal cuff, bladder, both ureters, and anterior longitudinal and pectineal ligaments. Read More

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November 2018
3 Reads
1.961 Impact Factor

Alternative way to find sacral hiatus for blind caudal block - Based on 3D pelvis CT anthropometry: A retrospective study.

Med Hypotheses 2018 Dec 14;121:70-73. Epub 2018 Sep 14.

Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Electronic address:

The aim of this study is to develop an alternative way to locate the sacral hiatus for blind caudal block from the anthropometrical data measured on 3D pelvic CT. The intersection of the line connecting two sacral cornua and the midline is considered the ideal point (IP) for caudal block. The mean length from the coccyx tip to the IP was measured using 3D pelvic CT images in 30 men and 30 women and was 6. Read More

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December 2018
3 Reads

Sacral agenesis and fecal incontinence: how to increase the index of suspicion.

Pediatr Surg Int 2018 Nov 3. Epub 2018 Nov 3.

Department of Pediatric Surgery, International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Anschutz Medical Campus, 13123 East 16th Avenue, Box 323, Aurora, CO, 80045, USA.

Purpose: Sacral abnormalities range from missing the coccyx, a few sacral vertebrae, or hemi-sacrum, to complete absence with fused iliac bones. The purpose of this study was to review the association between sacral agenesis and fecal incontinence to help inform patient prognosis.

Methods: A retrospective review was performed of patients who presented for bowel management due to sacral agenesis at a tertiary care children's hospital between 2016 and 2017 (n = 10). Read More

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November 2018
4 Reads

Color Doppler Ultrasonography to Evaluate Hypoechoic Areas in Pressure Ulcers: A Report of Two Cases.

J Med Ultrasound 2018 Jul-Sep;26(3):163-165. Epub 2018 Sep 14.

Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Ultrasound (US) is frequently used for evaluating inflammation of subcutaneous tissue caused by pressure ulcers (PUs), but color Doppler mode (CDM) helps to better identify inflammatory edema in subcutaneous fat and necrotic tissue in PUs. We report two cases where inflammatory edema in subcutaneous fat and necrotic tissue in PUs are identified using small US equipment with CDM. Case 1 - An 82-year-old male presented with cerebral infarction and a Category III PU in the sacral region. Read More

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September 2018
3 Reads

Ganglion Impar block improves neuropathic pain in coccygodynia: A preliminary report.

Neurol Neurochir Pol 2018 Sep - Oct;52(5):612-617. Epub 2018 Aug 28.

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.

Aim Of The Study: To define the effectiveness of ganglion Impar block in improving neuropathic pain.

Materials And Methods: Patients who had pain around the coccyx for more than three months and did not respond to conservative treatment were included in this study. All the patients underwent fluoroscopy guided transsacrococcygeal ganglion Impar block with injecting 3 mL of 0. Read More

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August 2018
6 Reads

New approach to the evaluation of perineal measurements to predict the likelihood of the need for an episiotomy.

Int Urogynecol J 2018 Aug 23. Epub 2018 Aug 23.

Division of Preventive Medicine and Public Health, Department of Public Health Sciences, University of Murcia School of Medicine, 30100, Espinardo, Murcia, Spain.

Introduction And Hypothesis: Episiotomy is performed selectively during vaginal delivery. Among the maternal anthropometric factors for episiotomy, the length of the perineal body (pb) and genital hiatus (gh) defined as per the POP-Q system have been studied. The objective of our study was to compare two perineal measurements (defined as per the POP-Q system and the anogenital distance [AGD] concept) to determine which of these can predict the likelihood of an episiotomy being performed. Read More

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[Cross suture closure technique of the perineal wound following abdominoperineal resection].

Authors:
Lei Wang Tenghui Ma

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Aug;21(8):936-939

Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.

Objective: The aim of this study is to introduce a new type of cross suture in closing peritoneal incision after abdominoperineal resection (APR) for rectal cancer.

Methods: This new type of cross suture was firstly proposed and applied in a small cohort in our hospital. In this study, we reported its efficacy and safety. Read More

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August 2018
12 Reads

Determination of Clinical Signs and Symptoms Predicting No Pelvic Fracture in Patients with Multiple Trauma.

Adv Biomed Res 2018 20;7:112. Epub 2018 Jul 20.

Department of Emergency Medicine, Emergency Medicine Research Center, Al-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Pelvic fracture (PF) is the second-most prevalent cause of mortality after brain trauma among multiple trauma patients. Our aim was to examine the reliability of suggestive criteria for having no PF (NPF) according to the common reported clinical signs and symptoms (CSSs).

Materials And Methods: In the current prospective study, 3527 patients with multiple trauma were recruited according to the guideline of emergency medicine. Read More

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July 2018
4 Reads

Estimation of stature and sex from sacrum and coccyx measurements by multidetector computed tomography in Chinese.

Leg Med (Tokyo) 2018 Sep 26;34:21-26. Epub 2018 Jul 26.

Department of Forensic Pathology, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, PR China. Electronic address:

The present study is an attempt to estimation of stature and sex from sacrum and coccyx measurements by multidetector computed tomography (MDCT) in a contemporary Chinese population. Nine measurements for every sacrum and coccyx were taken from CT image of 350 Chinese. The sample is composed of 190 males and 160 females with an average age of 55 and 50 years, respectively. Read More

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September 2018
5 Reads
1.440 Impact Factor

The anatomy of transanal minimally invasive surgery: Perineal distances and transanal angles.

Clin Anat 2018 Aug 10. Epub 2018 Aug 10.

Department of Colorectal Surgery, Cleveland Clinic Foundation.

Background: The recent interest in transanal, minimally invasive surgery has highlighted the importance of an in depth understanding of this complex region. We applied data from an anatomical study of the perineum to the concept of transanal minimally invasive surgery with the aim to describe more accurately anatomy relevant to this surgical technique.

Methods: A consecutive series of adult patients undergoing colonoscopy were approached for consent to measure dimensions and angles of the perineum before the examination. Read More

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Prominent and elongated coccyx, a new manifestation of KBG syndrome associated with novel mutation in ANKRD11.

Am J Med Genet A 2018 Sep 8;176(9):1991-1995. Epub 2018 Aug 8.

Medical Genetics Unit, Maternal and Child Health Department, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy.

KBG syndrome is characterized by short stature, distinctive facial features, and developmental/cognitive delay and is caused by mutations in ANKRD11, one of the ankyrin repeat-containing cofactors. After the advent of whole exome sequencing, the number of clinical reports with KBG diagnosis has increased, leading to a revision of the phenotypic spectrum associated with this syndrome. Here, we report a female child showing clinical features of the KBG syndrome in addition to a caudal appendage at the coccyx with prominent skin fold and a peculiar calcaneus malformation. Read More

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September 2018
5 Reads

Magnetic Resonance Measurements of Sacrococcygeal and Intercoccygeal Angles in Normal Participants and those with Idiopathic Coccydynia.

Indian J Orthop 2018 Jul-Aug;52(4):353-357

Department of Radiology, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.

Background: In the past, few studies have been done to objectively measure the sacrococcygeal (SC) and intercoccygeal (IC) angles in the population and in patients with coccydynia. Coccydynia is an age-old disorder, the exact incidence of which has not been determined. It is reported to be more common in females and the obese. Read More

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August 2018
1 Read

Use of Ultrasonography in Clarifying the Etiology of Anal Pain.

J Med Ultrasound 2017 Oct-Dec;25(4):208-214. Epub 2017 May 3.

Department of Radiology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

Introduction: Anal pain is defined as pain originating from the anal canal or the perianal area that can be attributed to a variety of medical problems. The current study's aim was to evaluate the role of combined endoanal, transperineal, and in married women, transvaginal ultrasound in clarifying the etiology of anal pain among our patient study group.

Methodology: A total of 180 patients presented to our radiology department complaining of anal pain and were examined using transperineal, endoanal, and in women, transvaginal ultrasound aided with three-dimensional capability. Read More

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May 2017
1 Read

Multiorgan system structural malformations associated with Mayer-Rokitansky-Küster-Hauser Syndrome (MRKHS) type 2: avoiding pitfalls in diagnosis, counseling and treatment.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Department of Ob/Gyn, Texas Tech University Health Science Center School of Medicine, Amarillo, Texas, USA.

An 18-year-old virginal woman was referred to the reproductive endocrinology clinic with primary amenorrhoea and secondary sexual development in the absence of pelvic pain. Additionally, she had significant congenital sensorineural hearing loss, autism, bipolar disorder and class III obesity. On physical examination, secondary sexual development was confirmed (Tanner 5 breasts and Tanner 4 pubic hair). Read More

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July 2018
7 Reads

[Factors affecting the difficulty of laparoscopy-assisted triple-port anterior resection].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Jul;21(7):779-785

Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025,

Objective: To explore the factors affecting the operative difficulty of triple-port laparoscopic surgery (TLS) in anterior resection.

Methods: A retrospective case-control study was carried out. Clinical and MRI imaging data of 106 colorectal cancer cases undergoing TLS anterior resection at Department of Colorectal Surgery of Ruijin Hospital between 2013 and 2016 were retrospectively analyzed. Read More

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July 2018
1 Read

Mesorectal fat area as a useful predictor of the difficulty of robotic-assisted laparoscopic total mesorectal excision for rectal cancer.

Surg Endosc 2018 Jul 13. Epub 2018 Jul 13.

Clinical Trial Coordination Office, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, Japan.

Background: Various predictors of the difficulty of total mesorectal excision for rectal cancer have been described. Although a bulky mesorectum was considered to pose technical difficulties in total mesorectal excision, no studies have evaluated the influence of mesorectum morphology on the difficulty of total mesorectal excision. Mesorectal fat area at the level of the tip of the ischial spines on magnetic resonance imaging was described as a parameter characterizing mesorectum morphology. Read More

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July 2018
3 Reads

The influence of coccygeal dynamic patterns on ganglion impar block treatment results in chronic coccygodynia.

Interv Neuroradiol 2018 Oct 3;24(5):580-585. Epub 2018 Jul 3.

6 Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Faculty of Medicine, Marmara University, Istanbul, Turkey.

Objective Ganglion impar block (GIB) can be performed in patients with chronic coccygodynia who do not respond to conservative treatments. We investigated the effect of coccygeal dynamic patterns on the treatment outcome in patients with chronic coccygodynia treated with GIB. Materials and methods We retrospectively analyzed the data for patients diagnosed with chronic coccygodynia who underwent GIB only once by a transsacrococcygeal method under fluoroscopy guidance in our Pain Medicine Clinic. Read More

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October 2018
3 Reads

Rare case of sacrococcygeal tuberculosis mimicking as an anal fistula.

Int J Surg Case Rep 2018 28;49:74-77. Epub 2018 Jun 28.

Department of Surgery, Kure City Medical Association Hospital, Japan; Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Japan.

Introduction: Spinal tuberculosis (TB) is the most common manifestation of extra-pulmonary TB. TB of the lumbosacral junction is rare and occurs in only 1 to 2% of all cases of spinal TB. Moreover, isolated sacrococcygeal TB is extremely rare. Read More

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June 2018
11 Reads

Sclerosing Epithelioid Fibrosarcoma of the Coccyx: A Case Report and Review of Literature.

Cureus 2018 Apr 2;10(4):e2407. Epub 2018 Apr 2.

Surgery, Max Hospital Vaishali.

Coccydynia in adult patients is not uncommon and is frequently neglected. Coccydynia is mostly associated with fall on buttocks. In long-standing cases, coccydynia can be debilitating. Read More

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April 2018
3 Reads

Coccydynia Treated with Dorsal Root Ganglion Stimulation.

Case Rep Anesthesiol 2018 29;2018:5832401. Epub 2018 Apr 29.

Spine & Pain Institute of New York, New York City, NY, USA.

Coccydynia can be difficult to resolve with conventional treatment options. Dorsal root ganglion (DRG) stimulation has recently emerged as a treatment for chronic pain, but its application has not been described in the context of coccydynia. We used DRG stimulation treatment in a patient suffering from intractable coccyx pain. Read More

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April 2018
8 Reads

The Estimate of the Impact of Coccyx Resection in Surgical Field Exposure During Abdominal Perineal Resection Using Preoperative High-Resolution Magnetic Resonance.

World J Surg 2018 11;42(11):3765-3770

Angelita and Joaquim Gama Institute, Rua Manoel da Nóbrega 1564, São Paulo, SP, 04001-005, Brazil.

Objective: To estimate the improvement in surgical exposure by removal of the coccyx, during abdomino-perineal resection (APR), in rectal cancer patients.

Methods: Retrospective study of 29 consecutive patients with rectal cancer was carried out. Using MR T2 sagittal series, the solid angle was estimated using the angle determined by the anterior resection margin and the tip of coccyx (no coccyx resection) or the tip of last sacral vertebra (coccyx resection). Read More

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November 2018
8 Reads

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

J Emerg Med 2018 08 18;55(2):e33-e35. Epub 2018 May 18.

Department of Physical Medicine and Rehabilitation, Newark, New Jersey.

Background: Water slides and rides are increasingly popular attractions at amusement parks. There has been some documentation of various patterns of injury associated with these rides, most notably vaginal injuries caused by water jets. But we find no previous medical publications reporting the association between water slides/rides with coccydynia (coccyx pain) and tailbone injuries. Read More

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August 2018
6 Reads

The relationship of subepidermal moisture and early stage pressure injury by visual skin assessment.

J Tissue Viability 2018 Aug 8;27(3):130-134. Epub 2018 May 8.

Department of Surgery, College of Medicine, Dankook University, Cheoan, South Korea.

Aim: The purpose of this study was to examine the relationship of subepidermal moisture and early stage pressure injury by visual skin assessment in elderly Korean.

Methods: Twenty-nine elderly participated at a particular nursing home. Data were collected for 12 weeks by one wound care nurse. Read More

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August 2018
1 Read

The use of sub-epidermal moisture measurement in predicting blanching erythema in jaundice patients.

J Wound Care 2018 May;27(5):342-349

Assistant Professor, Department of Nursing Science, Sunmoon University, 221 Sunmoon-ro, Tangjeong-myeon, Asan-si, Chungnam, Republic of Korea.

Objective: To investigate the relationship between sub-epidermal moisture (SEM) and visual skin assessment (VSA) in pressure ulcers (PU) patients with jaundice in Korea.

Method: This is a longitudinal observational study. Data was collected by a wound care nurse, at a tertiary hospital, for six weeks beginning in June 2013. Read More

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May 2018
1 Read

Complete Posterior Sagittal Anorectal Mobilization (PSAM): A new surgical approach for pediatric pelvic-perineal tumor resections.

J Surg Oncol 2018 Jun 1;117(8):1818-1822. Epub 2018 May 1.

Pediatric Oncology Unit, Istituto Giannina Gaslini, Genoa, Italy.

Introduction: Diffuse or massive tumors involving the perineal and pelvic compartments may require aggressive surgical treatment in children. The authors, propose and present their results using a Posterior Sagittal Anorectal Mobilization (PSAM) METHODS: The oncologic patient is placed in a prone position with the pelvis elevated, without a previous colostomy. A 10 Ch bladder catheter is positioned. Read More

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Osteological Development of the Larvae and Juvenile of Bullhead torrent catfish, .

Dev Reprod 2018 Mar 31;22(1):9-18. Epub 2018 Mar 31.

Marine Technology Undergraduate, Chonnam National University, Yeosu 59626, Korea.

This study was conducted to investigate the skeletal development of bullhead torrent catfish, larvae and to utilize them as basic data for the taxonomic study of larvae. Skeletal development was observed by being divided into cranium, visceral skeleton, shoulder girdle bone, pelvic girdle bone and vertebra. On the first day after hatching, the pre-larvae had an average total length of 7. Read More

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Influence of adequate pelvic floor muscle contraction on the movement of the coccyx during pelvic floor muscle training.

J Phys Ther Sci 2018 Apr 13;30(4):544-548. Epub 2018 Apr 13.

Department of Urology, Yotsuya Medical Cube: 7-7 Nibancho, Chiyoda-ku, Tokyo 102-0084, Japan.

[Purpose] Pelvic floor muscle training is a first-line therapy for female stress urinary incontinence. Previous studies have suggested that the coccyx tip moves ventrally and cranially during pelvic floor muscle contraction. The study aimed to elucidate the influence of adequate pelvic floor muscle contraction on coccyx movement. Read More

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Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years.

Asian J Neurosurg 2018 Apr-Jun;13(2):277-282

Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Introduction: Coccygodynia refers to a pathological condition in which pain occurs in the coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising from sitting. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment. Read More

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April 2018
1 Read

Symptomatic sacrococcygeal joint dislocation treated using closed manual reduction: A case report with 36-month follow-up and review of literature.

Trauma Case Rep 2017 Dec 14;12:11-15. Epub 2017 Nov 14.

Carilion Clinic Department of Orthopedics, Roanoke, VA, USA.

Dislocation of the sacrococcygeal joint is a rare injury from trauma to the buttocks, most often from falling backwards. Standard of care for this injury has not been determined because it is rare. Left untreated this can cause coccydynia in the long-term. Read More

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December 2017
15 Reads

Intraoperative X-rays during coccygectomy.

Pediatr Surg Int 2018 08 3;34(8):905. Epub 2018 Apr 3.

Department of Physical Medicine and Rehabilitation, Coccyx Pain Center, Rutgers New Jersey Medical School, 90 Bergen St, D.O.C. Suite 3100, Newark, NJ, 07103-2425, USA.

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August 2018
6 Reads

MRI artefact in the rectum caused by ingested orthodontic brackets.

Radiography (Lond) 2018 May 1;24(2):e48-e50. Epub 2017 Nov 1.

Department of Medicine, University of Otago, Christchurch, New Zealand; New Zealand Brain Research Institute, Christchurch, New Zealand.

Magnetic susceptibility artefacts, caused by metallic objects, present a challenge in magnetic resonance imaging (MRI). In this case, MRI showed metal-induced artefact in the rectum of a 14-year-old girl who presented with pain in the coccyx after a snowboarding accident. Previous radiographs showed no evidence of metal in the area. Read More

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May 2018
3 Reads

A Review of Current Treatment Options for Coccygodynia.

Curr Pain Headache Rep 2018 Mar 19;22(4):28. Epub 2018 Mar 19.

Department of Anesthesiology, Jefferson Pain Center, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite T-150, Philadelphia, PA, 19107, USA.

Purpose Of Review: Coccygodynia is pain within the coccyx area. The diagnosis is made clinically with symptoms of pain in the coccyx region and worsening pain in sitting position. The initial treatment is conservative therapy. Read More

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March 2018
19 Reads

The Use of Fluoroscopy During Direct Anterior Hip Arthroplasty: Powerful or Misleading?

J Arthroplasty 2018 06 1;33(6):1775-1779. Epub 2018 Feb 1.

Department of Orthopaedic Surgery, University of Missouri, Columbia, MO.

Background: Direct anterior approach total hip arthroplasty (THA) with fluoroscopic assistance is growing in popularity. Variables such as pelvic tilt, c-arm technique, and patient positioning can affect the perceived fluoroscopic view. This study evaluates the effect of these variables on the position of the acetabular component. Read More

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June 2018
1 Read

Clinicopathologic characteristics of poorly differentiated chordoma.

Mod Pathol 2018 Aug 26;31(8):1237-1245. Epub 2018 Feb 26.

Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA, 02114, USA.

Chordoma is a rare malignant tumor of bone with high morbidity and mortality. Recently, aggressive pediatric poorly differentiated chordoma with SMARCB1 loss has been described. This study summarizes the clinicopathologic features of poorly differentiated chordoma with SMARCB1 loss in the largest series to date. Read More

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A Retrospective Analysis to Evaluate Seasonal Pressure Injury Incidence Differences Among Hip Fracture Patients in a Tertiary Hospital in East China.

Ostomy Wound Manage 2018 02;64(2):40-44

W.

Patients with a hip fracture are at high risk for pressure injury. A retrospective review of the electronic medical records of consecutive patients with a hip fracture treated in 2016 in a single tertiary hospital in east China were examined to investigate whether time of year affected the incidence of hospital-acquired pressure injury. Data collected included demographic characteristics (patient name, hospital number, age, gender, and body mass index); possible risk factors for pressure injury, such as presence of diabetes mellitus, admission hemoglobin, admission albumin, length of surgery, and the lowest and/or last Braden Scale score before pressure injury developed; and pressure injury information, which included time of occurrence (days after surgery), location (sacrum and coccyx, ischial tuberosity, or heel), stage, and treatment outcome. Read More

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February 2018
8 Reads

[A Case of Pararectal Epidermoid Cyst Removed by Sacral Approach].

Gan To Kagaku Ryoho 2017 Nov;44(12):1955-1957

Dept. of Surgery, Kansai Rosai Hospital.

A 30-year-old woman was admittedto the hospital because of fecal occult bloodpositivity . Endoscopic colonoscopy indicated pressure on the right side of the rectum from the wall. Abdominal contrast CT and pelvic MRI revealed a cystic lesion with a maximum diameter of 5 cm on the pre-coccyx andthe right side of rectum. Read More

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November 2017
5 Reads

Coccydynia - could age, trauma and body mass index be independent prognostic factors for outcomes of intervention?

Ann R Coll Surg Engl 2018 Jan 15;100(1):12-15. Epub 2017 Sep 15.

Royal Derby Hospital , Derby , UK.

Introduction The aetiology of coccydynia can be multifactorial, with several associated factors such as obesity, female gender and low mood. The long-term results of operative interventions, such as manipulation under anaesthesia and coccygectomy are variable, ranging from 63-90%. Materials and methods Our aim was to identify whether age, trauma and body mass index (BMI) were independent prognostic factors in coccydynia treatment. Read More

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January 2018
15 Reads

Management of persistent coccydynia with transrectal manipulation: results of a combined procedure.

Eur Spine J 2018 05 12;27(5):1166-1171. Epub 2017 Dec 12.

Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey.

Objective: We compared the results of manual therapy combined with steroid injection with single steroid injection in the treatment of persistent coccydynia.

Patients And Methods: Combined therapy was performed in 21 patients (Group 1) and steroid injection in 23 patients (Group 2). We compared two groups and investigated the combined therapy group in details. Read More

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May 2018
13 Reads

[Adult Stature Estimation by Multiple Parameters of Body Torso Segment].

Fa Yi Xue Za Zhi 2017 Jun 25;33(3):236-238. Epub 2017 Jun 25.

Shanghai Key Laboratory of Crime Scene Evidence, Institute of Forensic Science, Shanghai Public Security Bureau, Shanghai 200083, China.

Objectives: To promote the further research on body stature estimation and the innovative applications based on the distances between the anatomical landmarks on body torso surface.

Methods: A specification for the collection of distances between the anatomical landmarks on body torso surface was established. The data of 933 cases of adult population in Yangtze River Delta region were collected. Read More

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June 2017
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The position of the anal dimple in newborns and infants with anorectal malformations and its correlation with the normal anal position.

J Pediatr Surg 2018 Aug 16;53(8):1560-1565. Epub 2017 Nov 16.

Department of Pediatric Surgery, Lady Hardinge Medical College & Kalawati Saran Children's Hospital, New Delhi 110001, India. Electronic address:

Background/purpose: The anal position index (API) defines the normal anal position as the ratio of fourchette-anal distance to fourchette-coccyx distance for females and the scrotum-anal distance to scrotum-coccyx distance for males. In this study, measurement of the API in newborns and infants with anorectal malformations (ARM), using the center of the midline anal dimple (AD) to represent the center of the proposed neoanus, was performed to assess whether or not the AD was located in a significantly abnormal position as correlated with the normal anal position.

Methods: The cases comprised 65 consecutive newborn and infants with ARM, divided into 2 age-based groups (Group A: 1st day to 1month; Group B: 1-12months), without sacral or significant perineal abnormalities. Read More

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August 2018
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The impact of hoist sling fabrics on interface pressure whilst sitting in healthy volunteers and wheelchair users: A comparative study.

J Tissue Viability 2018 May 6;27(2):90-94. Epub 2017 Dec 6.

Diagnostic Imaging, School of Health Sciences, University of Salford, UK.

Aim Of The Study: To evaluate the effect of three sling fabrics on gluteal interface pressure whilst sitting in a population of wheelchair users and to compare these to data previously collected in a pilot study with a healthy population.

Materials And Methods: A repeated measures experimental design was used with 32 adult wheelchair users (15 women, 17 men). Healthy population pilot study consisted of 61 participants (51 women, 10 men) recruited from staff and students at The University of Salford. Read More

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May 2018
4 Reads

[Forensic Analysis of the Characteristics of Pelvic Fracture in 65 Road Traffic Accident Death Cases].

Authors:
W Zhang

Fa Yi Xue Za Zhi 2016 Dec 25;32(6):428-430. Epub 2016 Dec 25.

Department of Forensic Medicine, National Police University of China, Shenyang 110035, China.

Objectives: To analyze the characteristics and mechanisms of pelvic fractures in the cases of road traffic accident deaths.

Methods: Total 65 cases of road traffic accident deaths with pelvic fracture were collected, and the sites, characteristics and injury mechanisms of pelvic fracture were statistically analyzed.

Results: Among the 65 cases of pelvic fracture, 38 cases of dislocation of sacroiliac joint were found, and most combined with pubis symphysis separation or fracture of pubis. Read More

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December 2016
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