Acquired Constriction Ring: A Case of Rubber Band Syndrome.

Meier, Rahel; Haug, Luzian Carlo Peter; Surke, Carsten; Mathys, Lukas; Vögelin, Esther (2017). Acquired Constriction Ring: A Case of Rubber Band Syndrome. Pediatric emergency care, p. 1. Williams & Wilkins 10.1097/PEC.0000000000000992

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Rubber band syndrome is a rare entity seen in younger children mainly in communities where rubber bands are worn around the wrist for decorative purposes. When the band is worn for a long duration, it burrows through the skin and soft tissues resulting in distal edema, loss of function, and even damage to the neurovascular structures. These symptoms are difficult to relate to this rare but typical condition. We report a case of a 2¾-year-old girl with the history of a linear circumferential scar at the right wrist combined with the limited use of a swollen hand for several weeks. The child was taken to surgery with the purpose to release the red, indurated scar and eliminate the lymphatic congestion. A rubber band was found lying in a plane superficial to the flexor tendons but had cut through the superficial branch of the radial nerve and partially through the abductor pollicis longus tendon. The band was removed and the lacerated structures were repaired. The child had excellent recovery postoperatively. The cardinal features of a linear constricting scar around the wrist in the presence of a swollen hand should always alert the clinician to the possibility of a forgotten band around the wrist, which might have burrowed into the soft tissues for a period. Early recognition may be important to prevent further damage of essential structures.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Handchirurgie

UniBE Contributor:

Meier, Rahel; Haug, Luzian Carlo Peter; Surke, Carsten; Mathys, Lukas and Vögelin, Esther

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0749-5161

Publisher:

Williams & Wilkins

Language:

English

Submitter:

Veronika Picha

Date Deposited:

25 Jul 2017 13:08

Last Modified:

01 Apr 2018 02:30

Publisher DOI:

10.1097/PEC.0000000000000992

PubMed ID:

28291150

BORIS DOI:

10.7892/boris.97733

URI:

https://boris.unibe.ch/id/eprint/97733

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