Fragility fracture of the fourth rib in a patient with a cardiac pacemaker: an uncommon case
| Autor: | Ebru Köseoğlu Tohma, Ozden Ozyemisci Taskiran |
|---|---|
| Přispěvatelé: | MÜ, Tıp Fakültesi, Eğitim ve Araştırma Hastanesiü, Köseoğlu Tohma, Ebru, Özyemişçi Taşkıran, Özden |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Pacemaker Artificial Rib Fractures medicine.medical_treatment Movement Osteoporosis Ribs Case Report Chest pain Palpation Cardiac pacemaker medicine Humans Orthopedics and Sports Medicine Aged Rib fracture Rib cage medicine.diagnostic_test business.industry Osteopenia musculoskeletal system medicine.disease Fragility fracture Trunk Surgery Orthopedic surgery medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | Archives of Osteoporosis |
| ISSN: | 1862-3514 |
| Popis: | Purpose: In patients with a cardiac pacemaker, pocket-related complications such as nerve impairment or bone fractures are infrequent. We present a man with a fracture of the 4th rib several months after pacemaker implantation. Case presentation: A 74-year-old man, with a left prepectoral pacemaker implanted 13 months ago, presented complaining of chest pain. The pain started after a sudden trunk rotation and right arm flexion movement with a crack. There was tenderness to palpation and crepitation over the left upper ribs. Computed tomography identified a non-displaced fracture line in the anterior aspect of the left 4th rib. After kinesiotaping and activity restriction, pain alleviated. Conclusion: Pacemaker implantation might have caused shoulder dysfunction and pectoral tightness resulting in reduced flexibility of the trunk. Consequently, a reaching motion of the arm with a trunk rotation might have directed rotational force vectors towards the osteopenic left 4th rib causing a fragility fracture. In elderly with a pacemaker, osteopenia and concomitant sarcopenia may create a predisposition to this atypical complication. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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