The Anatomical Structure of the Coccygeal Foveola of a Black Female

Description

Posterior surface anatomy of the lower back is rendered on a black adult female, with the lumbar lordosis transitioning inferiorly to the sacrum and the midline intergluteal cleft. Just superior to the coccyx, a small cutaneous depression marks the coccygeal foveola, positioned in the midline over the sacrococcygeal region and inferior to the posterior superior iliac spine landmarks. Superficial contours of the paraspinal musculature, sacral slope, and gluteal eminences frame the foveola laterally. Skin topography is the focus. Clinically, the coccygeal foveola is a useful landmark when discussing coccygodynia and localizing pain to the coccyx versus the sacroiliac region or lower lumbar spine. It also sits in a neighborhood where midline congenital anomalies can declare themselves, so educators often contrast a benign foveola with pathologic midline pits and sinuses associated with dermal sinus tracts or pilonidal disease along the natal cleft. For procedural planning, this surface point helps orient palpation for coccygeal manipulation, anesthetic infiltration, or image-guided ganglion impar block performed anterior to the sacrococcygeal junction. Small landmark, real consequences. Ideal for gross anatomy and surface anatomy teaching blocks, patient education materials on tailbone pain, and musculoskeletal or pain medicine publications that need accurate posterior lumbosacral landmarks on darker skin tones. It also fits surgical counseling content when describing midline cleft disease or postoperative localization around the coccyx. Anatomical accuracy verified by SciePro's Medical Advisory Board.