A rare case of migration of clavicular Kirschner nail turned into foreign body of the neck

Authors

  • Shirin Ansari Department of Otolaryngology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India
  • Praveen Surana Department of Otolaryngology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India
  • Manan Jhawar Department of Otolaryngology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India
  • Vishal R. Munjal Department of Otolaryngology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20262392

Keywords:

Clavicular K-nail, Migration, Foreign body removal

Abstract

Kirchner wire (K-wire) fixation done for orthopedic fixation of fractures of shoulder girdles and clavicles show rare migration into the neck surrounding tissues and sometimes spinal canal. We present a unique case of a 40-year-old male with a rare migration of clavicular K-nail turned into foreign body of the neck. The patient presented with the chief complaint of pain in the left side of neck while coughing for 10 days. Imaging revealed a metallic shadow in the left deep neck space which was surgically removed via neck exploration under general anesthesia. Successful and timely removal of the nail can prevent life threatening complications. This case report highlights a rare instance of clavicular K-nail migration and its potential risks, if the smooth nail migrates into the neck. Therefore, it is imperative to choose implants with utmost care and timely explant, once the fractures have healed.

References

Mankowski B, Polchlopek T, Strojny M, Grala P, Slowinski K. Intraspinal migration of a Kirschner wire as a late complication of acromioclavicular joint repair: a case report. J Med Case Rep. 2016;10:66.

Van Dyck R, Decker G. Intrapulmonary migration of a Kirschner wire 12 years after clavicular fracture fixation: case report and review of literature. J Surg Case Rep. 2025;2025(6):rjaf377.

Furuhata R, Nishida M, Morishita M, Yanagimoto S, Tezuka M, Okada E. Migration of a Kirschner wire into the spinal cord: A case report and literature review. J Spinal Cord Med. 2020;43(2):272-5.

Minić L, Lepić M, Novaković N, Mandić-Rajčević S. Symptomatic migration of a Kirschner wire into the spinal canal without spinal cord injury: case report. J Neurosurg Spine. 2016;24(2):291-4.

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Published

2026-07-23

How to Cite

Ansari, S., Surana, P., Jhawar, M., & Munjal, V. R. (2026). A rare case of migration of clavicular Kirschner nail turned into foreign body of the neck . International Journal of Otorhinolaryngology and Head and Neck Surgery, 12(4), 675–678. https://doi.org/10.18203/issn.2454-5929.ijohns20262392

Issue

Section

Case Reports