Retrospective evaluation of coccygeal fractures: clinical features and radiological findings from a single-centre study

Aims: This study aims to evaluate the demographic, epidemiological, and radiological characteristics of patients diagnosed with coccyx fractures in the emergency department. Methods: Patients who presented between October 2022 and January 2025 and were diagnosed with coccygeal fractures in the emergency department were retrospectively evaluated. Patient variables analysed included age, sex, season of presentation, mechanism of trauma, type(s) of radiological investigations performed, and the presence of any accompanying injuries. Results: 105 patients were included in the study, the mean patient age was 46.00?±?18.45 years (range: 18–82 years). Of the patients, 41.9% were female and 58.1% were male. The highest incidence of presentation occurred during the winter season, accounting for 50.5% (n=53) of cases. The most prevalent trauma mechanism was ground-level falls, observed in 51.4% (n=54) of patients. Direct radiography was performed in 55.2% (n=58) of cases. The most common associated injury was pelvic or sacral trauma, noted in 52.6% (n=10) of patients with concomitant injuries. No statistically significant differences were identified between male and female patients regarding age, trauma mechanisms, or the presence of accompanying injuries (p>0.05 for all comparisons). Conclusion: Recognising the clinical features of coccyx fractures is essential for informing the development of targeted preventive strategies in vulnerable populations. The current national literature on coccyx fractures remains limited; hence, the presented data are anticipated to contribute valuable insights to the national trauma database.