Does Sacrococcygeal Angle Play a Role on Pilonidal Sinus Etiology?

Abstract

The predisposing factors for the development of sacrococcygeal pilonidal disease (SPD) still remain undetermined. Here, we investigate the sacrococcygeal angle as a possible predisposing factor for the development of disease. Consecutive male patients admitted to our clinic with the diagnosis of SPD were included. Sex, age and BMI matched healthy controls without SPD were enrolled to the study. The predefined sacrococcygeal angles of patients and controls were measured on lateral pelvic radiographs by a single experienced radiologist. Thirty patients were included in each group. Sacrococcygeal angles of patients and control group were measured as 37.3±14.5 and 36.81±10.23 in patients and controls, respectively. The difference with respect to sacrococcygeal angle was not statistically significant between two groups. Sacrococcygeal angle which is the main skeletal determinant of intergluteal sulcus is not a predisposing factor for the development of sacrococcygeal pilonidal disease.

Teenage boy with high fever and rash: what could we be missing?

“…The abscess is formed when a folliculitis infiltrates into the subcutaneous tissue or when an ongoing foreign-body granuloma becomes infected 4. Several predisposing factors of pilonidal disease have been suggested, such as hairy body, local trauma due to long periods of sitting, poor hygiene, wounded skin and positive family history 5. Certain anatomical features of sacrococcygeal area may promote the accumulation of hairs in intergluteal sulcus, but this has yet to be proven 5.…”

“…Several predisposing factors of pilonidal disease have been suggested, such as hairy body, local trauma due to long periods of sitting, poor hygiene, wounded skin and positive family history 5. Certain anatomical features of sacrococcygeal area may promote the accumulation of hairs in intergluteal sulcus, but this has yet to be proven 5. A recent study revealed that males aged 20–24 years and girls aged 10–14 years had a higher incidence of pilonidal disease, indicating that puberty, which starts earlier in girls, is an essential factor in the development of pilonidal disease 3…”

Novel Approaches in Pilonidal Sinus Treatment

“…Negative pressure wound care products are also associated with an increase in factors accelerating wound healing such as: wound oxygenation, angiogenesis, and blood flow, granulation tissue formation (EWMA, 2008). Relative contraindications of the negative pressure wound care products are necrotic tissue formation with eschar on in the wound, priority of debridement requirement, presence of an untreated osteomyelitis around the wound, cancer in the wound or development of a fistula towards an organ or body cavity (Cooper and Young, 2000;Eryilmaz et al, 2015). When VAC (vacuum-assisted closure) treatment used as negative pressure wound care product is compared with standard gauze dressings, it is reported that VAC treatment further reduces the depth of chronic wounds, provides a faster recovery, causes fewer infections and allows shorter hospitalization (Joseph et al, 2000;Vuerstaek et al, 2006;Mouës et al, 2007).…”

Morphometric evaluation of coccyx in patients with coccydynia and classification

“…However, cases where the cause is not found are also quite frequent [1][2][3]. Conservative methods such as use of donut-shaped cushions, rest, medical treatment, physical therapy, massage, radiotherapy, psychotherapy, sacral rhizotomy, manipulation, epidural injection, and local injection have been successfully applied in the treatment of coccydynia [1][2][3][4]. Coccygectomy surgery is performed in patients who do not benefit from conservative treatment methods [3,5].…”