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Updated: Jun 28, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
08:22

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

15.0K

Ligature effect on wrist of a child

Ranjit Bhosale1, Shruthi Chandrasekar1, Kiran Trambak Nerkar2

  • 1Plastic and Reconstructive Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

BMJ Case Reports
|September 26, 2023
PubMed

Insights

The rubber band syndrome can cause infants’ limbs to be cut by forgotten bands migrating through tissues. Early surgical removal and debridement are crucial for managing this condition and preventing misdiagnosis.

Area of Science:

  • Pediatric Surgery
  • Medical Case Studies
  • Tissue Injury

Background:

  • A rubber band around an infant's limb can cause severe tissue damage.
  • The cutting force is directly related to the band's strain.
  • Forgotten bands can migrate, leading to chronic issues.

Purpose of the Study:

  • To highlight the 'rubber band syndrome' in infants.
  • To emphasize diagnostic challenges and appropriate management.
  • To prevent misdiagnosis and ensure proper treatment.

Main Methods:

  • Clinical observation of affected infants.
  • Review of diagnostic criteria and presentation.
  • Surgical intervention and reconstruction protocols.

Main Results:

  • Typical presentation includes circumferential scars and discharging sinuses.
  • Misdiagnosis is common due to maintained limb function.
  • Delayed treatment can lead to significant complications.

Conclusions:

  • High clinical suspicion is essential for diagnosing 'the rubber band syndrome'.
  • Prompt surgical removal and debridement are the primary treatments.
  • Secondary reconstruction addresses any residual deficits effectively.

Keywords:
Paediatric SurgeryPlastic and reconstructive surgeryPreventative pediatrics

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