Migration of Kirschner wire into the spinal canal as complication of inveterate shoulder luxation treatment - case study.

نویسندگان

  • Maciej T Was
  • Krzysztof Kurowski
  • Ireneusz Francuz
چکیده

We report a case of intrathoracic migration of a Kirschner wire used for inveterate anterior right shoulder luxation penetrating the spinal canal through the right Th8 nerve root foramen. The migration was asymptomatic. The treatment involved removing the pin via posterolateral thoracotomy. The postoperative course was uneventful. Intrathoracic migration of Kirschner wires should be expected in patients so treated for shoulder problems. This complication can be avoided through using a threaded pin for the shoulder surgery, bending the external end of the pin and choosing a correct diameter of the Kirschner wire.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Video-assisted thoracoscopic surgery for migration of a Kirschner wire in the spinal canal: a case report and literature review.

Orthopedic wires and pins are regularly used for the treatment of dislocations and bone fractures. Migration of these metallic fixation devices into the spinal canal is an uncommon complication. We present a 35-year-old man who underwent thoracic spinal canal migration of a Kirschner wire. The patient had undergone treatment of acromioclavicular joint dislocation with Kirschner wire fixation. T...

متن کامل

Comparison of clinical results of surgical treatment for unstable distal clavicle fractures by transacromial pins with and without tension band wire.

BACKGROUND An unstable distal clavicle fracture (Neer type II) is an indication that surgical intervention is required. Numerous treatment options have been introduced, but there is no gold standard. METHODS We report on our experience of 29 consecutive cases, between 2002 and 2008, of acute unstable distal clavicle fracture (Neer type II) and operative treatment using transacromial pins with...

متن کامل

Kirschner wire migration from subcapital humeral fracture site, causing hydropneumothorax

Migration of wires or pins around the shoulder is a known complication, though their migration within the chest is uncommon. We report an unusual case of hydropneumothorax due to migration of a bent Kirschner wire from the right proximal humerus in a 63 year-old man. We reviewed his clinical history, physical examination, imaging findings, surgical method and outcome. We also reviewed the liter...

متن کامل

Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation

At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively. The K-wire was only secured unicortically. From our experience, we have developed steps to prevent this complication. First, where the wires are being used as part of a tension band wir...

متن کامل

Forgotten Kirschner Wire Causing Severe Hematuria

Kirschner wire (K-wire) is commonly used in the treatment of hip fracture and its migration into pelvis leading to bladder injury is a very rare complication. Nonremoval of these devices either because of lack of followup or because of prolonged requirement due to disease process is associated with this complication. We report a case of a patient who presented with acute onset severe hematuria ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Ortopedia, traumatologia, rehabilitacja

دوره 12 4  شماره 

صفحات  -

تاریخ انتشار 2010