Pia Franz Ruiz¹*, Martina Franz Ruiz² and Rolf Franz Ruiz²

¹Hospital Clinico Mutual de Seguridad C.Ch.C, Santiago, Chile
²Facultad de Medicina, Universidad San Sebastián, Sede de la Patogonia, Puerto Montt, Chile

*Corresponding Author: Pia Franz Ruiz, Hospital Clinico Mutual de Seguridad C.Ch.C, Santiago, Chile.

Received: December 20, 2022; Published: January 04, 2023

Abstract

Kirschner wires have been the most widely used devices in orthopedic surgery, given their great versatility, low cost, and availability. Due to their malleable nature, the wires are prone to migration. We present the case of a 69 year old male patient who suffered a falling from a two-meter-high ladder with support from the upper right extremity and was diagnosed with a fracture dislocation of the right shoulder. The shoulder was reduced with the Kocher maneuver. Further imaging showed bony bankart lesion, Hill Sachs lesion and a rotator cuff tear. Two weeks after trauma, the fracture dislocation was surgically treated using three Kirschner wires, a cannulated screw with washer and tree anchors for the rotator cuff repair.

Four months after surgery the patient complained of pain in the right hemithorax associated with deep inspiration. X ray and CT showed intrathoracic Kirschner wire migration. The patient undergo surgery to remove the Kirschner wire, evolving without respiratory problems and with full function of his shoulder.

Keywords: Kirschner Wire; Foreign Body Migration; Bone Wires; Shoulder Dislocation; Shoulder Fracture

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Citation: Pia Franz Ruiz., et al. “Intrathoracic Kirschner Wire Migration After Management of a Dislocated Shoulder Fracture". Acta Scientific Clinical Case Reports 4.2 (2023): 08-11.

Copyright: © 2022 Pia Franz Ruiz., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.