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Traumatismo en el cóccix - All Information

Nombres alternativos

Lesión del coxis (cóccix).

Definición:

Es una lesión en el hueso pequeño que se encuentra en el extremo inferior de la columna.

Consideraciones generales:

Las fracturas reales del cóccix son poco frecuentes. El traumatismo del cóccix generalmente involucra hematomas del hueso o estiramiento de los ligamentos.

Causas:

Las causas más comunes de este tipo de lesiones son las caídas hacia atrás sobre una superficie dura, como un piso resbaloso o hielo.

Síntomas:

  • Hematomas en la parte baja de la columna
  • Dolor al sentarse o al ejercer presión sobre el cóccix

Primeros auxilios:

En el caso de traumatismo del cóccix donde no se sospeche de lesión en la médula espinal:

  • Alivie la presión sobre el coxis sentándose sobre un aro de goma inflable o utilizando cojines.
  • Tome acetaminofeno (paracetamol) para el dolor.
  • Tome un ablandador de heces para evitar el estreñimiento.

Si sospecha una lesión en el cuello o la columna, no trate de mover al paciente.

No se debe:

Intentar mover a la víctima si se sospecha que puede haber una lesión en la médula espinal.

Se debe buscar asistencia médica de emergencia si:

Solicite ayuda médica si:

  • Se sospecha de una lesión en la médula espinal.
  • El paciente no puede moverse.
  • El dolor es intenso.

Prevención:

  • No corra sobre superficies resbalosas, como los alrededores de una piscina.
  • Utilice zapatos con buena suela o suela antideslizante, especialmente en nieve o sobre el hielo.
  • Reviewed last on: 7/30/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Choi SB, Cwinn AA. Pelvic trauma. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 52.

Vora A. Coccydynia. In: Frontera, WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 103.

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