Kirschner wire migration from the clavicle to the cervical spine

Abstract

Introduction: Kirschner wires (Kwires) are often used to treat injury to the shoulder girdle. Often found in such as literature are cases of migration of Kwires to the thoracic organs lungs, esophagus, aorta. This is a potentially a very serious complication that could lead to death. Case Report: A 31yearold male patient who was surgically treated for acromioclavicular joint separation on the right side. Six years later, the patient was admitted to the orthopedic department due to severe pain around the right acromioclavicular joint and septic inflammation in the surrounding area. The plain Xray showed that Weber's cerclage was broken and one of the Kirschner wires had migrated towards the central axis of the body, perpendicular to the spine at the level of (the 7th) cervical vertebra (C7). The angio computed tomography test, using multihelical amplified contrast, showed that the displaced 6.5 cm long Kwire segment had migrated to the spinal cord canal at the C7 vertebra. The wire passed through the two transverse foramen of C7 and adhered to the posterior surface of the trunk vertebra. The study did not show any pathological symptoms of the nervous system resulting from Kwire migration. The patient did not consent to the removal of the displaced K wire, due to alcoholism. Conclusion: Patients

Death Due to Intra-aortic Migration of Kirschner Wire From the Clavicle

“…On reviewing articles from databases including PubMed, Elsevier, Cochrane Library, EMBASE, and Web of Science from the year 1943 to 2015, we found 102 cases of orthopedic wire migration. 2 – 13 Majority of the cases of K-wire migration originated from the region of the shoulder girdle, including the proximal humerus, 14 clavicle, 15 the acromioclavicular joint, and sternoclavicular joints. 10 , 16 , 17 However, a few cases originated from the finger, 18 pelvis, 19 , 20 hip, 21 and rib.…”

Kirschner Wire Migration into SpinaL Canal after Acromioclavicular Joint Fixation (Literature Review and Clinical Case)

“…liberski акцентирует внимание на необходимости оценки степени физической активности, способности пациента к самообслуживанию и выполнению рекомендаций. автор рекомендует делать выбор в пользу других способов фиксации у спортсменов и людей, ведущих активный образ жизни, у пожилых и нуждающихся в посторонней помощи людей, а также у непунктуальных пациентов (злоупотребление алкоголем, прием наркотиков, интеллектуальные нарушения) [22]. Также ограничить показания к остеосинтезу спицами при повреждениях ключицы и акромиально-ключичного сочленения рекомендует М.а.…”