The use of osteosynthesis material in shoulder and clavicle surgery is common in orthopedic surgery. Although migration is rare, it is widely documented and can lead to serious complications and even death. We present a rare case of trans-mediastinal migration of a Kirschner needle used to fix a clavicle fracture, which fortunately did not injure the mediastinal structures and was resolved favorably by a video-assisted thoracic surgery approach.
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