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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 10, 1388-1389.
doi: 10.1302/0301-620X.88B10.18050  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Isolated tuberculosis of the coccyx

A. Kumar, MS(Orth), Senior Resident1; M. K. Varshney, MS, DNB(Orth), Senior Resident1; V. Trikha, MS(Orth), Assistant Professor1; and S. A. Khan, MS, DNB(Orth), MRCS, MCH(Liverpool), Assistant Professor1

1 Department of Orthopaedics All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

Correspondence should be sent to Dr A. Kumar at Flat 3221, Ground Floor, Sector A, PKT - B&C Vasant Kunj, New Delhi, India; e-mail: ashok_k73{at}rediffmail.com

Vertebral disease constitutes approximately 50% of all skeletal tuberculosis. We describe a patient who developed a discharging sinus at the tip of the coccyx. Extensive examination revealed isolated tuberculosis of the coccyx. Although rare, the condition should be suspected in patients presenting with a chronic sinus in the sacrococcygeal area and a lytic lesion in the coccyx on CT or MRI, particularly in the developing world.




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