{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:35:07Z","timestamp":1787754907698,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2016,9,28]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 78-year-old man presented with an open fracture of the proximal aspect of the humerus and an axillary artery laceration; the fracture was treated provisionally with Kirschner wires (K-wires). Forty-five days postoperatively, he presented with pin prominence at the lateral aspect of the arm, and was incidentally noted to have migration of a separate K-wire to the left lung. He underwent successful thoracotomy and lung wedge resection for wire removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>K-wires used in the fixation of fractures of the proximal aspect of the humerus may migrate into the thoracic cavity. No modification of this technique, including the use of threaded, terminally bent, or external pins that are visibly secured, eliminates the potential for devastating complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00032","type":"journal-article","created":{"date-parts":[[2016,9,28]],"date-time":"2016-09-28T23:28:25Z","timestamp":1475105305000},"page":"e77","source":"Crossref","is-referenced-by-count":4,"title":["Asymptomatic Migration of a Kirschner Wire from the Proximal Aspect of the Humerus to the Thoracic Cavity"],"prefix":"10.2106","volume":"6","author":[{"given":"William F.","family":"Pientka","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Bates","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian G.","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, Texas"},{"name":"Department of Orthopaedic Surgery, University of North Texas Health Science Center, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"8","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.2106\/00004623-199072080-00023","article-title":"Migration of pins used in operations on the shoulder","volume":"72","author":"Lyons","year":"1990","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1016\/j.athoracsur.2014.12.102","article-title":"Thoracoscopic excision of migrated Kirschner wire to right pulmonary hilum","volume":"100","author":"Cort\u00e9s-Juli\u00e1n","year":"2015","journal-title":"Ann Thorac Surg."},{"issue":"1","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/S1726-4901(09)70021-8","article-title":"Late migration of threaded wire (Schanz screw) from right distal clavicle to the cervical spine","volume":"72","author":"Tsai","year":"2009","journal-title":"J Chin Med Assoc."},{"key":"bib5-20230712","first-page":"1","article-title":"Symptomatic migration of a Kirschner wire into the spinal canal without spinal cord injury: case report","author":"Mini\u0107","year":"2015","journal-title":"J Neurosurg Spine."},{"issue":"2","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/PAF.0b013e31806195a1","article-title":"Migration of a Kirschner wire used in the fixation of a subcapital humeral fracture, causing cardiac tamponade: case report and review of literature","volume":"28","author":"Freund","year":"2007","journal-title":"Am J Forensic Med Pathol."},{"issue":"3","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"508","DOI":"10.5935\/1678-9741.20110033","article-title":"Migration of a Kirschner wire into the thoracic ascendent aorta artery","volume":"26","author":"Daud","year":"2011","journal-title":"Rev Bras Cir Cardiovasc."},{"issue":"2","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/j.athoracsur.2008.12.093","article-title":"Migration of a Kirschner wire from the clavicle into the intrathoracic trachea","volume":"88","author":"Nakayama","year":"2009","journal-title":"Ann Thorac Surg."},{"issue":"5","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"517","DOI":"10.3109\/17453679909000992","article-title":"Migration of Kirschner wires following fixation of the clavicle\u2014a report of 2 cases","volume":"70","author":"Leppilahti","year":"1999","journal-title":"Acta Orthop Scand."},{"issue":"1","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s00408-013-9524-y","article-title":"Intra pulmonary migration of a Kirschner wire after glenohumeral fixation","volume":"192","author":"Tenconi","year":"2014","journal-title":"Lung."},{"issue":"1","key":"bib11-20230712","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjt132","article-title":"Intrathoracic migration of a Kirschner wire","volume":"2014","author":"Ozarslan","year":"2014","journal-title":"J Surg Case Rep."},{"issue":"2","key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/echo.12795","article-title":"Foreign bodies in the 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heart","volume":"37","author":"Leonardi","year":"2014","journal-title":"Orthopedics."},{"issue":"3","key":"bib16-20230712","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1093\/ejcts\/ezv156","article-title":"Pericardial tamponade caused by a migratory Kirschner wire","volume":"49","author":"Lin","year":"2016","journal-title":"Eur J Cardiothorac Surg."},{"issue":"2","key":"bib17-20230712","first-page":"486","article-title":"Surgical removal of Kirschner wire from the right ventricle, migrated from the femur","volume":"37","author":"Ono","year":"2010","journal-title":"Eur J Cardiothorac Surg."},{"issue":"Suppl 1","key":"bib18-20230712","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s10554-011-9977-0","article-title":"Intracardiac migration of a Kirschner wire: case report and literature review","volume":"27","author":"Park","year":"2011","journal-title":"Int J Cardiovasc Imaging."},{"issue":"5","key":"bib19-20230712","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1510\/icvts.2008.185850","article-title":"Transmediastinal migration of Kirschner wire","volume":"7","author":"Marchi","year":"2008","journal-title":"Interact Cardiovasc Thorac Surg."},{"issue":"3","key":"bib20-20230712","doi-asserted-by":"crossref","first-page":"e109","DOI":"10.1016\/j.hlc.2013.09.011","article-title":"Migrated Kirschner wire in the posterior mediastinum","volume":"23","author":"Saxena","year":"2014","journal-title":"Heart Lung Circ."},{"issue":"5","key":"bib21-20230712","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1093\/ejcts\/ezr138","article-title":"Transthoracic migration of a Kirschner wire from the humerus to the abdomen","volume":"41","author":"Juli\u00e0","year":"2012","journal-title":"Eur J Cardiothorac 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