The Spine Journal
2016 April, Online
Derek T. Cawley, Fiachra Power, Martin Murphy
St Vincent's University Hospital, Elm Park, Dublin 4, Ireland
A 30-year-old man fell from his cabin bed while asleep aboard an overnight bus, suffering a direct impact injury to his coccygeal area. Initial symptoms included perianal and right buttock pain, nausea, and persistent headache, which ceased after 1 week. There was significant bruising centrally with a large fluctuant swelling in the right buttock. The patient suffered sensory disturbance at the peroneal area with weak right gluteal muscles, causing a limp and impaired sitting, which persisted for over 8 weeks.