PMID- 37947861 OWN - NLM STAT- MEDLINE DCOM- 20231201 LR - 20231216 IS - 2731-7056 (Electronic) IS - 2731-7048 (Linking) VI - 63 IP - Suppl 2 DP - 2023 Nov TI - The overlooked symptom of coccydynia: evaluation of sacrococcygeal morphologic and morphometric findings. PG - 113-122 LID - 10.1007/s00117-023-01239-z [doi] AB - BACKGROUND: Coccydynia is one of the most overlooked symptoms in daily clinical practice. Definitions for radiologic evaluation are controversial. OBJECTIVES: We aimed to compare the morphology and morphometric measurements of the sacrococcygeal region with those of a healthy population to support radiologic decision-making. MATERIALS AND METHODS: In total, 26 traumatic and 50 idiopathic cases of coccydynia as well as 74 healthy control cases were retrospectively compared. The morphologic type of the coccyx, the presence of fusion, and the number of coccygeal segments were evaluated in both groups. Morphometric parameters such as sacrococcygeal angle (SCA), sacrococcygeal joint angle (SCJA), intercoccygeal angle (ICA), sacral slope (SS), coccyx curved length (CCL), sacrum curved length (SCL), coccyx length (CL), sacrum length (SL), and sacrococcygeal total length (SCTL) were investigated. RESULTS: Significant differences were found between the coccydynia group and the healthy control group in morphologic parameters such as female gender, coccyx segment, coccyx morphology, presence of sacrococcygeal joint, and segment of sacrococcygeal joint fusion (p < 0.05). In morphologic measurements, SCJA, SCL, SL, coccyx and sacrum curvature indexes were significantly increased (p < 0.05). No significant difference was found in the morphologic and morphometric parameters evaluated when compared with the duration of coccydynia (p > 0.05). CONCLUSION: An increase in the SCJA, SCL, SL, SCI, and coccyx curvature index measurements predisposes to coccydynia. It would be more accurate to perform radiological evaluation by familiarization with these morphologic and morphometric parameters. CI - (c) 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature. FAU - Sukun, Abdullah AU - Sukun A AUID- ORCID: 0000-0003-0047-0857 AD - Department of Radiology, Baskent University Alanya Research and Application Center, Yunus Emre Cd. No:1, 07400, Alanya/Antalya, Turkey. abdullah.sukun@gmail.com. FAU - Cubuk, Hazal Selvi AU - Cubuk HS AUID- ORCID: 0000-0001-9278-4233 AD - Department of Radiology, Baskent University Ankara Hospital, Ankara, Turkey. FAU - Cankurtaran, Tijen AU - Cankurtaran T AUID- ORCID: 0000-0003-3372-8690 AD - Department of Radiology, Baskent University Ankara Hospital, Ankara, Turkey. FAU - Sarsam, Busra Yavuz AU - Sarsam BY AUID- ORCID: 0000-0002-0818-7426 AD - Department of Radiology, Baskent University Ankara Hospital, Ankara, Turkey. FAU - Yagdiran, Burak AU - Yagdiran B AUID- ORCID: 0000-0003-0825-581X AD - Department of Radiology, Baskent University Ankara Hospital, Ankara, Turkey. FAU - Incekas, Caner AU - Incekas C AUID- ORCID: 0000-0001-9019-423X AD - Department of Biostatistics, Baskent University, Ankara, Turkey. LA - eng PT - Journal Article TT - Das ubersehene Symptom der Kokzygodynie: Beurteilung sakrokokzygealer morphologischer und morphometrischer Befunde. DEP - 20231110 PL - Germany TA - Radiologie (Heidelb) JT - Radiologie (Heidelberg, Germany) JID - 9918384887306676 SB - IM MH - Humans MH - Female MH - Retrospective Studies MH - *Coccyx/diagnostic imaging/anatomy & histology MH - *Sacrum/diagnostic imaging MH - Back Pain MH - Radiography MH - Pelvic Pain OTO - NOTNLM OT - Coccyx OT - Coccyx length OT - Curvature index OT - Pain OT - Sacrococcygeal joint angle EDAT- 2023/11/10 12:46 MHDA- 2023/12/01 06:44 CRDT- 2023/11/10 11:06 PHST- 2023/07/05 00:00 [received] PHST- 2023/10/25 00:00 [accepted] PHST- 2023/12/01 06:44 [medline] PHST- 2023/11/10 12:46 [pubmed] PHST- 2023/11/10 11:06 [entrez] AID - 10.1007/s00117-023-01239-z [pii] AID - 10.1007/s00117-023-01239-z [doi] PST - ppublish SO - Radiologie (Heidelb). 2023 Nov;63(Suppl 2):113-122. doi: 10.1007/s00117-023-01239-z. Epub 2023 Nov 10.