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KMID : 0361620130480030231
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Journal of the Korean Orthopaedic Association
2013 Volume.48 No. 3 p.231 ~ p.235
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Spinal Canal Migration of a K-Wire Used for Fixation of a Distal Clavicular Fracture
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Lee Byung-Ill
Kim Yong-Beom
Choi Hyung-Suk
Kim Chang-Hyun
Ji Jung-Woo
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Abstract
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We report on migration of the K-wire, which is used in fixation of a distal clavicular fracture, to the spinal canal. A 39-year-old male was admitted to our hospital with pain in his right shoulder. He had undergone surgery for a right distal clavicular fracture (in another hospital) ten years ago. Plain radiographs showed an old right distal clavicle fracture fixed with three K-wires. One of the three K-wires had broken, and the broken K-wire had migrated to the spinal canal. Fortunately, the patient exhibited no neurological symptoms, however, there was a possibility of fatal complications, such as spinal cord injury. Therefore, we recommend close follow-up for patients who undergo repair of a distal clavicular fracture is fixed using a K-wire, with use of x-ray until the K-wire has been removed.
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KEYWORD
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distal clavicular fracture, Kirschner wire, spinal canal, migration
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