No abstract

Coccydynia is localized pain in the coccyx, exacerbated when sitting and getting up. The diagnosis is essentially clinical, the interrogation must always seek the notion of trauma in the history. Digital rectal examination is painful when mobilizing the coccyx. Standard X-rays, dynamic X-rays, and Magnetic Resonance Imaging (MRI) are quite important for both positive diagnosis and differential diagnosis. Therapeutic management is multidisciplinary, starting with hygiene measures, medical treatment and manipulation and massage techniques. Coccygectomy is proposed after failure of conservative treatments. Its results are generally good. Its main complication is infection.

No abstract

Coccydynia is localized pain in the coccyx, exacerbated when sitting and getting up. The diagnosis is essentially clinical, the interrogation must always seek the notion of trauma in the history. Digital rectal examination is painful when mobilizing the coccyx. Standard X-rays, dynamic X-rays, and Magnetic Resonance Imaging (MRI) are quite important for both positive diagnosis and differential diagnosis. Therapeutic management is multidisciplinary, starting with hygiene measures, medical treatment and manipulation and massage techniques. Coccygectomy is proposed after failure of conservative treatments. Its results are generally good. Its main complication is infection.

Gamma nail closed osteosynthesis has surpassed several methods previously used in the treatment of fractures in the trochanteric region.          The objective of the research was to carry out an epidemiological study and to assess the evolutionary profile of patients with per-trochanteric fracture treated with gamma nail.          Materials and methods. In this retrospective study, we report the experience of the Traumatology-Orthopedics Service II of the Military Teaching Hospital Mohamed V-Rabat, in the treatment of per-trochanteric fractures by gamma nail in 100 cases, collected between January 2011 and March 2016.          Results. The average age of our patients was 68 years, with a male predominance of 67%. The most reported etiology (92% of cases) was simple drop. Stable fractures were the most common (81%), with a predominance of simple per-trochanteric fractures. The average response time was 24 hours, the average duration of the surgical procedure was 45 minutes. The rate of infectious complications was 1%; the rate of mechanical complications was 1%. The functional results were excellent and good in 95% of cases. The average consolidation time was 8 weeks.          Conclusions. Trochanteric fracture is a delayed emergency which is seen primarily in the elderly. The gamma nail represents one of the latest improvements in implants for the treatment of these fractures. We report a series of 100 cases of trochanteric fractures treated surgically by gamma nail. The functional results were very encouraging compared to those reported in the literature.