Abstract
Fractures of the clavicle are common injuries and some of them need open reduction and internal fixation. As one of economical and practical implants, Kirschner pins (K-pins) are widely employed to treat clavicle fractures through percutaneous fixation in minimal invasion. However, as one of rare and severe complications, K-pins migrations to ascending aorta, thorax, spine and neck have been published previously. Here, a case of migration of a broken K-pin to thoracic spinal canal 4 years following internal fixation of a clavicle fracture is reported, and concerning attention in clinical practice is discussed.
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Jeray KJ (2007) Acute midshaft clavicular fracture. J Am Acad Orthop Surg 15:239–248
McKee MD, Pedersen EM, Jones C, Stephen DJ, Kreder HJ, Schemitsch EH et al (2006) Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am 88:35–40
Khan LK, Bradnock TJ, Scott C, Robinson M (2009) Fractures of the clavicle. J Bone Joint Surg Am 91:447–460
Nordback I, Markkula H (1985) Migration of Kirschner pin from clavicle into ascending aorta. Acta Chir Scand 151:177–179
Bedi GS, Gill SS, Singh M, Lone GN (1997) Intrathoracic migration of a Kirschner pin: case report. J Trauma 43:865–866
Regel JP, Pospiech J, Aalders TA, Ruchholtz S (2002) Intraspinal migration of a Kirschner pin 3 months after clavicular fracture fixation. Neurosurg Rev 25:110–112
Adbenoor J, Mantoura J, Nahas A (2000) Cervicothoracic pin migration following open reduction and pinning of a clavicular fracture: a case report. East J Med 5:26–28
Fransen P, Bourgeois S, Rommens J (2007) Kirschner wire migration causing spinal cord injury one year after internal fixation of a clavicle fracture. Acta Orthop Belg 73:390–392
Pribán V, Toufar P (2005) A spinal cord injury caused by a migrating Kirschner pin following osteosynthesis of the clavicle: a case review. Rozhl Chir 84:373–375 Czech
Motamedi M, Mortazavi SM, Miresmaseeli SH (2008) Migration of a broken Kirschner wire from an acromioclavicular joint into the neck: a case report. Eur J Orthop Surg Traumatol 18:19–21
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Wang, SQ., Gao, YS., Mei, J. et al. Migration of a broken Kirschner pin into thoracic spinal canal 4 years following internal fixation of a clavicle fracture. Eur J Orthop Surg Traumatol 20, 493–495 (2010). https://doi.org/10.1007/s00590-010-0592-x
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DOI: https://doi.org/10.1007/s00590-010-0592-x