Pelvis/Hip Case 8 History/Physical Exam

Fractures of the coccyx can occur as the result of direct trauma or pathological fractures. Most commonly patients will report landing directly in the seated position with significant force. Childbirth is also another possible etiology of these fractures. There is pain in the gluteal region with extreme difficulty sitting or rocking back in the seated position. On physical examination, there is tenderness to palpation both externally and on rectal examination.