Migration of Two Broken K-wires into the Cervical Region following Lateral End Clavicle Fixation: A Rare Case Report and Literature Review.

Abstract

Introduction: Kirschner wires (K-wires) are commonly used in orthopedic fixation, but their potential for migration can lead to serious complications.

Case report: We present a rare case of a middle-aged male who reported persistent right-sided neck and shoulder pain 3 years following surgery for a lateral end clavicle fracture. Imaging revealed two broken K-wire fragments - one in the right supraclavicular region and another in the posterior neck musculature. The wires were successfully removed through a posterior neck surgical approach with the help of an otorhinologist, and the patient had complete symptomatic resolution postoperatively.

Conclusion: This case underscores the unusual scenario of dual K-wire migration into the cervical region without neurological involvement. It highlights the critical importance of timely hardware removal and cautious use of unthreaded K-wires in mobile joints such as the acromioclavicular joint. Clinicians must be vigilant about potential wire migration, especially in patients with unexplained persistent pain post-surgery. Early detection and multidisciplinary surgical management are key to preventing catastrophic outcomes.