Endopelvic migration of a sternoclavicular K-wire. Case report and review of literature

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.

Publication types

  • Case Reports

MeSH terms

  • Bone Wires*
  • Device Removal / methods
  • Follow-Up Studies
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology*
  • Foreign-Body Migration / surgery
  • Humans
  • Male
  • Middle Aged
  • Orthopedic Procedures / adverse effects
  • Orthopedic Procedures / instrumentation*
  • Pelvis*
  • Prosthesis Failure
  • Shoulder Dislocation / surgery*
  • Sternoclavicular Joint / diagnostic imaging
  • Sternoclavicular Joint / injuries
  • Sternoclavicular Joint / surgery*
  • Tomography, X-Ray Computed