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Case Report
Online Published: 08 Jan 2018


Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report

Ganesh Singh Dharmshaktu, Binit Singh, Alamgir Jhan.


Abstract
Osteomalacia is a result of severe and uncompensated vitamin D or phosphate depletion. It has characteristic clinical, biochemical and radiological profile. The resultant softening of the bone may lead to varied patterns of deformities affecting axial as well as appendicular skeleton. The unexposed parts of the skeletal system like lower spine may also bear the brunt of deformity due to cyclic physiological loading in the setting of weakened bone. Very few reports are there describing a severe sacral and coccyx deformity along with other radiological features as pointer towards the diagnosis of a generalized metabolic condition like osteomalacia. Radiographs of a young lady with severe coccydynia revealed severe sacro-coccygeal deformity along with other features like tri-radiate pelvis, pseudofractures,bilateral secondary protrusio of hip and underlying osteopenia.

Key words: Osteomalacia, Vitamin D Deficiency, Coccygodynia, Triradiate pelvis. Deformity, Coccyx.


 
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How to Cite this Article
Pubmed Style

Dharmshaktu GS, Singh B, Jhan A. Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. A J Diagn Imaging. 2018; 3(1): 12-14. doi:10.5455/ajdi.20170902061321


Web Style

Dharmshaktu GS, Singh B, Jhan A. Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. https://www.wisdomgale.com/ajdi/?mno=276855 [Access: June 07, 2026]. doi:10.5455/ajdi.20170902061321


AMA (American Medical Association) Style

Dharmshaktu GS, Singh B, Jhan A. Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. A J Diagn Imaging. 2018; 3(1): 12-14. doi:10.5455/ajdi.20170902061321



Vancouver/ICMJE Style

Dharmshaktu GS, Singh B, Jhan A. Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. A J Diagn Imaging. (2018), [cited June 07, 2026]; 3(1): 12-14. doi:10.5455/ajdi.20170902061321



Harvard Style

Dharmshaktu, G. S., Singh, . B. & Jhan, . A. (2018) Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. A J Diagn Imaging, 3 (1), 12-14. doi:10.5455/ajdi.20170902061321



Turabian Style

Dharmshaktu, Ganesh Singh, Binit Singh, and Alamgir Jhan. 2018. Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. American Journal of Diagnostic Imaging , 3 (1), 12-14. doi:10.5455/ajdi.20170902061321



Chicago Style

Dharmshaktu, Ganesh Singh, Binit Singh, and Alamgir Jhan. "Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report." American Journal of Diagnostic Imaging 3 (2018), 12-14. doi:10.5455/ajdi.20170902061321



MLA (The Modern Language Association) Style

Dharmshaktu, Ganesh Singh, Binit Singh, and Alamgir Jhan. "Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report." American Journal of Diagnostic Imaging 3.1 (2018), 12-14. Print. doi:10.5455/ajdi.20170902061321



APA (American Psychological Association) Style

Dharmshaktu, G. S., Singh, . B. & Jhan, . A. (2018) Crooked painful sacro-coccygeal region as presenting feature of osteomalacia – A case report. American Journal of Diagnostic Imaging , 3 (1), 12-14. doi:10.5455/ajdi.20170902061321