Beau-Soleil Private Hospital, Orthopedics Department, Montpellier, France.
Orthop Traumatol Surg Res. 2012 Feb;98(1):118-21. doi: 10.1016/j.otsr.2011.09.015. Epub 2011 Dec 28.
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.
我们报告了一个独特的病例，此前从未发表过，一名 56 岁男性的胸锁关节固定 K 形钢丝迁移至骨盆区域。两年前，该患者因胸锁关节脱位用三根钢丝固定。迁移时伴有短暂的心前区胸痛和反复腹痛。五年后进行了取出。肩胛骨 K 形钢丝迁移很常见。心血管结构的临近可能会产生致命后果。这种内固定方式引发了一些问题，需要考虑预防迁移。医疗并发症和法律背景是导致我们放弃这种类型的骨合成的主要因素。一旦诊断出迁移，应毫不拖延地取出钢丝。
