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Therapieresistente Kokzygodynie sollte nicht länger als Mythos angesehen werden

Der chirurgische Zugang

Therapy-resistant coccygodynia should no longer be considered a myth

The surgical approach

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Zusammenfassung

Hintergrund

Kokzygodynie wird immer noch oft als ein Mysterium angesehen und viele Patienten werden nicht mit ihren Problemen und Schmerzen ernst genommen.

Fall

Eine 51-jährige, schlanke Frau stellte sich mit lebenslang bestehenden Schmerzen im unteren Rückenbereich in unserer Klinik vor. Die klinische Untersuchung ergab den Verdacht einer Kokzygodynie. Die Bildgebung zeigte ein hypermobiles Os coccygis mit dorsalem Tilt. Nach der totalen Kokzygektomie über einen Y‑förmigen Zugangsweg war sie bis zur 12-Monats-Kontrolle völlig schmerzfrei. Eine Wundheilungsstörung trat während dieser Zeit nicht auf.

Abstract

Background

Coccygodynia is still often considered a mystery, and many patients are not taken seriously with their problems and pain.

Case

A 51-year-old thin lady presented at our clinic with lifelong, persistent low back pain. The clinical examination indicated suspicion of coccygodynia. A functional X‑ray revealed a hypermobile os coccygeum with dorsal tilt. After a total coccygectomy via a y-shaped approach, she was completely pain free at the 12 months follow-up examination. No surgical site infection occurred in this period.

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Abbreviations

CT:

Computertomographie

MRT :

Magnetresonanztomographie

NRS :

Numerische Rating-Skala

NSAID :

„Non-steroidal anti-inflammatory drugs“

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Authors and Affiliations

  1. Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Deutschland

    A. Benditz MD &  M. A. König MD

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  1. A. Benditz MD
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  2. M. A. König MD
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Correspondence to A. Benditz MD.

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Interessenkonflikt

A. Benditz und M.A. König geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

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Benditz, A., König, M.A. Therapieresistente Kokzygodynie sollte nicht länger als Mythos angesehen werden. Orthopäde 48, 92–95 (2019). https://doi.org/10.1007/s00132-018-03665-7

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