Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
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Migration of K-wires from the Acromioclavicular Joint to the Neck - Case Report(2 cases) -

견봉 쇄골 관절 탈구에 사용된 K-강선의 경추부로의 이동 - 증례보고(2예) -

  • Lee, Woo-Seung (Department of Orthopedic Surgery, Seoul Veterans Hospital) ;
  • Kim, Taik-Seon (Department of Orthopedic Surgery, Seoul Veterans Hospital) ;
  • Yoon, Jeong-Ro (Department of Orthopedic Surgery, Seoul Veterans Hospital) ;
  • Kim, Young-Bae (Department of Orthopedic Surgery, Seoul Veterans Hospital) ;
  • Seo, Dong-Hoon (Department of Orthopedic Surgery, Seoul Veterans Hospital) ;
  • Kwon, Jae-Ho (Department of Orthopedic Surgery, Seoul Veterans Hospital)
  • 이우승 (서울보훈병원 정형외과) ;
  • 김택선 (서울보훈병원 정형외과) ;
  • 윤정로 (서울보훈병원 정형외과) ;
  • 김영배 (서울보훈병원 정형외과) ;
  • 서동훈 (서울보훈병원 정형외과) ;
  • 권제호 (서울보훈병원 정형외과)
  • Published : 2006.12.15
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Abstract

We report two cases of migration of K-wires from the acromioclavicular joint to the neck. A 73-year-old man complained of right shoulder pain for one month and had undergone orthopedic surgery because of acromioclavicular joint dislocation about 27 years earlier. Another 56-year-old man complained of left shoulder pain and neck pain for 5 years and had undergone orthopedic surgery because of acromioclavicular joint dislocation about 25 years earlier. In both cases, we took X-rays to look for the cause of shoulder pain and discovered broken and migrated K-wires in the neck. We removed the K-wires from the trapezius muscle and the paraspinal muscle respectively. K-wire fixation technique is simple and effective but should be followed up with X-rays periodically. In addition, we should warn patients of the possibility of migration of K-wire. And it is desirable for us to avoid using K-wire near major neurovascular structures like the sternoclavicular joint and the clavicle.

Keywords

References

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  2. Spinal Canal Migration of a K-Wire Used for Fixation of a Distal Clavicular Fracture vol.48, pp.3, 2013, https://doi.org/10.4055/jkoa.2013.48.3.231