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Elastic bands on the wrist: a not so "silly" complication
Mandisa Anjail McIver1, Robert Francis Gochman
1Department of Emergency Medicine and Pediatrics, Long Island Jewish Medical Center/Cohen Children's Medical Center of New York, Long Island, NY, USA. mandisamciver@yahoo.com
Elastic bands on children's wrists may cause acute compartment syndrome, a serious condition. Early diagnosis and treatment are crucial to prevent permanent limb damage.
Area of Science:
- Pediatrics
- Orthopedic Surgery
- Emergency Medicine
Background:
- Acute compartment syndrome (ACS) is a limb-threatening emergency caused by increased pressure within fascial compartments.
- Untreated ACS can lead to tissue necrosis, nerve damage, and functional impairment.
Observation:
- A 2½-year-old girl presented with a swollen, blue hand after wearing an elastic band on her wrist.
- The presentation was suggestive of impending acute compartment syndrome.
Findings:
- While this patient did not ultimately receive an ACS diagnosis, the case highlights a potential risk.
- Elastic bands pose a risk for pediatric acute compartment syndrome.
Implications:
- Emphasizes the importance of recognizing potential risks associated with common objects like elastic bands.
- Underscores the need for prompt diagnosis and management of suspected compartment syndrome in children.
- Highlights the critical role of prevention and early intervention in avoiding permanent disability.
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