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December 1964

Unusual Outcome Of Steinman WireCase of Fractured Clavicle

Arch Surg. 1964;89(6):1024-1025. doi:10.1001/archsurg.1964.01320060092018

Wire fixation of fractures of the clavicle is a procedure well established and apparently with few or no sequelae. In the literature, four cases have been reported in which a pin wire has left its point of fixation and migrated to the lung. Two were by Mazet,1 one by Pannier,2 and the fourth by Kremens.3 This paper is a report of a case of similar nature.

A 29-year-old man was admitted to the hospital in April, 1962, complaining of pain in the left shoulder after having suffered a fall. Physical examination was negative except for a moderately prominent tender swelling and crepitation over the medial third of the left clavicle, and pain on movement of the left shoulder. X-ray revealed a complete fracture of the inner third of the clavicle. Routine laboratory work-up was normal.

On the day after admission, open reduction of the fracture and wire