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Pacemaker Lead Dislodgement Due to Left Shoulder Dislocation: A Case Report.

Momotaro Kawai¹, Atsushi Tanji¹, Takayuki Nishijima¹

¹Department of Orthopedic Surgery, Ashikaga Red Cross Hospital, Tochigi, Japan.

JBJS Case Connector

|August 11, 2018

Summary

This summary is machine-generated.

A shoulder dislocation in a patient with a pacemaker may cause lead dislodgement, affecting heart rate and pacing. Prompt pacemaker parameter checks are crucial to prevent pacing failure.

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Area of Science:

Cardiology
Biomedical Engineering

Background:

Pacemaker implantation is common for cardiac rhythm management.
Shoulder dislocations can potentially impact implanted medical devices.

Observation:

A 63-year-old male pacemaker recipient experienced a left shoulder dislocation.
Pacemaker evaluation revealed an elevated pacing threshold and decreased sensing threshold.

Findings:

The shoulder dislocation was suspected to cause pacemaker lead dislodgement.
Lead repositioning was successfully performed.
Pacemaker function requires careful assessment post-dislocation.

Implications:

Clinicians must verify pacemaker function in patients with dislocations.
Electrocardiography and pacing parameter checks are essential to rule out pacing failure.
This case highlights the importance of device integrity in trauma patients.