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Sacral Hiatus S5 — FRCA Primary MCQ

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ModerateAnatomySacral Hiatus S5FRCA Primary

The sacral hiatus is used for caudal epidural injection. It is formed by the failure of fusion of which sacral laminae?

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Correct answer: BS5

The sacral hiatus is formed by the failure of fusion of the S5 (and sometimes S4) laminae. It is covered by the sacrococcygeal ligament. The sacral cornua (two bony prominences) are palpable landmarks flanking the hiatus. The dural sac terminates at approximately S2 so caudal injection below this is epidural not subarachnoid.

Reference: RCoA 2021 Primary FRCA Curriculum