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Acquired Constriction Ring: A Case of Rubber Band Syndrome
Rahel Meier, Luzian Haug, Carsten Surke
1Department of Handsurgery, Kantonsspital Baselland, Bruderholz, Switzerland.
Pediatric Emergency Care
|March 15, 2017
Summary
Rubber band syndrome, a rare condition in children, occurs when a constricting band causes tissue damage. Early recognition of wrist scars and swelling is crucial to prevent neurovascular complications.
Area of Science:
- Pediatric Surgery
- Dermatology
- Orthopedics
Background:
- Rubber band syndrome is a rare condition often overlooked in children, primarily affecting those in communities where wristbands are worn decoratively.
- Prolonged wearing of rubber bands can lead to the band burrowing into subcutaneous tissues, causing significant complications.
Observation:
- A case is presented of a 2¾-year-old girl with a linear scar on her wrist and a swollen hand with limited function.
- Surgical intervention was performed to release an indurated scar and alleviate lymphatic congestion.
Findings:
- A rubber band was discovered embedded in the soft tissues, superficial to flexor tendons.
- The band had caused a partial transection of the abductor pollicis longus tendon and severed the superficial branch of the radial nerve.
Implications:
- This case highlights the importance of considering rubber band syndrome in pediatric patients presenting with unexplained wrist swelling and scarring.
- Prompt diagnosis and surgical removal of the constricting band are essential to prevent irreversible damage to nerves and tendons.
- Clinicians should maintain a high index of suspicion for this condition, especially when a linear scar is present on the wrist.
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