The AAO Journal, 2012/12, 22(4):12-14, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://www.academyofosteopathy.org/aaoj)

Keywords:

sacral fracture [1]
osteopathic manipulative treatment [3946]
OMT [3925]
osteopathic exam [10]
case report [736]

Abstract:

Sacral fractures are often missed or identified late, resulting in decreased mobility, painful deformities and loss of neurological function. Even in treated sacral fractures, persistent pain and non-union of the fracture can occur. This case describes a patient who presented with severe sacrococcygeal and gluteal pain following a fall. Osteopathic examination revealed a fifth sacral segment fracture confirmed by radiography. Osteopathic treatment and internal reduction of the sacral fracture resulted in full resolution of the patient’s pain. The purpose of presenting this case is to provide evidence that osteopathic exam findings can accurately detect and diagnose sacral fractures and that osteopathic treatment is an effective treatment for sacral fractures. Further research is needed to correlate osteopathic examination findings with diagnostic imaging and to confirm the efficacy of osteopathic treatment of sacral fractures.