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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

Pediatric Emergency Care
|May 7, 2011
PubMed

Insights

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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