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Endopelvic migration of a sternoclavicular K-wire. Case report and review of literature.

TitleEndopelvic migration of a sternoclavicular K-wire. Case report and review of literature.
Publication TypeJournal Article
Year of Publication2012
AuthorsBallas, R., & Bonnel F.
JournalOrthop Traumatol Surg Res
Volume98
Issue1
Pagination118-21
Date Published2012 Feb
ISSN1877-0568
KeywordsBone Wires, Device Removal, Follow-Up Studies, Foreign-Body Migration, Humans, Male, Middle Aged, Orthopedic Procedures, Pelvis, Prosthesis Failure, Shoulder Dislocation, Sternoclavicular Joint, Tomography, X-Ray Computed
Abstract

We report a unique case, never before published, of sternoclavicular joint fixation K-wire migration to the pelvic region, in a 56 year-old man. Two years previously, sternoclavicular dislocation had been fixed by three wires. A transitory episode of precordial thoracic pain followed by iterative abdominal pain accompanied the migration. Extraction was performed five years later. Scapular K-wire migration is frequent. The proximity of cardiovascular structures may have fatal consequences. This type of internal fixation raises questions, and migration prevention needs to be taken into account. Medical complications and the legal context are major factors leading us to abandon this type of osteosynthesis. Once migration has been diagnosed, the wire should be removed without delay.

DOI10.1016/j.otsr.2011.09.015
Alternate JournalOrthop Traumatol Surg Res
PubMed ID22209044

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