A Constrictive Quandary: Clinical Insights into Rubber Band Syndrome

Rubber band syndrome (RBS) is a rare but potentially serious condition resulting from applying constricting objects, such as rubber bands, around a digit or extremity. This syndrome presents a diagnostic challenge due to its variable clinical presentation, subtle onset, and overlap with other conditions such as cellulitis, traumatic injury, and paronychia. The diagnostic process is based on a proper history, physical examination, and imaging techniques such as ultrasound and magnetic resonance imaging. Surgical intervention may be required in necrosis, infection, or compartment syndrome cases. This case report describes the management of a child with RBS by surgical exploration and highlights the clinical presentation, diagnostic challenges, and management strategies. Preventive measures, including parental education, child supervision, and safe storage of rubber bands, are also crucial in reducing the incidence of this condition.