Endopelvic migration of a sternoclavicular K-wire. Case report and review of literature.
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.
Beau-Soleil Private Hospital, Orthopedics Department, Montpellier, France. richardballas@yahoo.fr
R
R
Ballas
F
F
Bonnel
D001864:Bone Wires; D020878:Device Removal / Q000379:methods; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000295:instrumentation*; D010388:Pelvis; D011475:Prosthesis Failure; D012783:Shoulder Dislocation / Q000601:surgery*; D013247:Sternoclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014057:Tomography, X-Ray Computed