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A Case of an Elderly Patient With Rubber Band Syndrome
Erica Amemiya1, Kazuhiro Maeda1,2, Takayuki Nemoto3
1Department of Orthopaedic Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Insights
Rubber band syndrome, where a constricting band embeds in skin, is rare in adults. This case highlights its occurrence in an elderly patient with cognitive impairment, emphasizing prompt diagnosis and surgical removal to prevent tissue damage.
Area of Science:
- Medicine
- Dermatology
- Radiology
Background:
- Rubber band syndrome is a rare condition involving subcutaneous embedding of constricting bands.
- While predominantly reported in children, adult cases are exceptionally uncommon.
Observation:
- A 71-year-old patient with cognitive impairment presented with limb swelling and contracture.
- A distinctive circumferential scar on the wrist suggested an embedded foreign object.
Findings:
- Diagnostic imaging, including ultrasonography and MRI, confirmed a deeply embedded rubber band.
- Surgical intervention was necessary for the removal of the rubber band to prevent further tissue compromise.
Implications:
- This case underscores the importance of considering rubber band syndrome in elderly patients with cognitive impairment presenting with unexplained limb issues and circumferential scars.
- Prompt diagnosis and surgical removal are crucial to avert complications such as deep tissue necrosis.
Abstract:
Rubber band syndrome is a relatively rare disease in which a rubber band around a limb becomes embedded under the skin, resulting in tissue damage. Most reported cases are in children, and its occurrence in adults is considered extremely rare. We present a case of a 71-year-old patient with cognitive impairment, in whom a rubber band around the wrist became embedded under the skin. The examination of the distinctive circumferential scar, ultrasonography, x-ray, and magnetic resonance imaging led to the diagnosis of rubber band syndrome. To avoid further damage to the tissue, surgical removal of the band was conducted. When elderly patients with cognitive impairment present with chief complaints of swelling and contracture in the limbs due to an unknown cause, accompanied by a circumferential scar on the affected limb, rubber band syndrome should be considered. Due to risk of deep tissue necrosis, prompt band removal is necessary.
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