Fatal Aortic Perforation and Cardiac Tamponade Due to a Kirschner Wire Migrating from the Right Sternoclavicular Joint

Rl, Clark; Jw, Milgram; Dh, Yawn

doi:10.1097/00007611-197403000-00017

Cited by 94 publications

(41 citation statements)

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“…Related to several complications, such as breakage, loosening, hardware migration, clavicle erosion or postoperative osteoarthritis none has been declared as ''standard'' [7][8][9]. Improvement in arthroscopic techniques has widened the indications for reduction and fixation of fractures [12,16,17].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of distal clavicle fractures: a technical note

Pujol

Philippeau

Richou

et al. 2008

Knee Surg Sports Traumatol Arthr

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This article describes a new technique for the arthroscopic treatment of distal clavicle fractures. This technique requires the use of posterior and anterior standard arthroscopic portals. The base of the coracoid process is exposed through the rotator interval. The ancillary system drill guide is placed at the undersurface of the coracoid process. A small incision is performed above the clavicular body and the corresponding part of the guide is pushed down to the clavicle. A 4-mm hole is drilled through the clavicle and the coracoid process. A double button device is pushed through both the holes. The first button is pushed below the coracoid. The device is tightened and the second button is fixed on top of the clavicular cortical bone, allowing reduction and fixation of the fracture. Four patients treated with this technique were evaluated at 6 months postoperatively. All patients showed bony union and a full recovery of the shoulder function. The technique provides firm fixation of fractures of the distal clavicle.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of distal clavicle fractures: a technical note

Pujol

Philippeau

Richou

et al. 2008

Knee Surg Sports Traumatol Arthr

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show abstract

“…The use of Kirschner wires for CC stabilization is of particular concern because of reports of pin migration and breakage of hardware. 24 Techniques for fixation that span the AC joint require a second operation for removal of hardware. 16,25 The CC fixation alone or in combination with wire fixation can be associated with delayed union 22 or stress fracture of the clavicle caused by bone erosion from the suture.…”

Section: Fixation Of Distal Clavicle Fracturesmentioning

confidence: 99%

Addition of a Suture Anchor for Coracoclavicular Fixation to a Superior Locking Plate Improves Stability of Type IIB Distal Clavicle Fractures

Madsen

Yaseen

LaFrance

et al. 2013

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Noticeably just as little as 4 mm of intra-pelvic penetration by the guide wire can cause injury to the obturator nerve and if a penetration is over 20 mm a sigmoid injury can occur [13]. Bizarre guide wire migrations have been reported [14][15][16]. Vascular injuries are reported and can be fatal in the post-operative period.…”

Section: Discussionmentioning

confidence: 99%