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.