“Missed Band Under the Band”: Don’t Miss it !

Ojha, Sunita; Pandey, V. K.; Garg, Gaurav; Bansal, Rinkesh Kumar

doi:10.1007/s12098-016-2275-z

Cited by 5 publications

(10 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multiple sinuses were noted in 26.67% of the cases (four out of 15 cases). 3 , 8 , 10 , 17 A circumferential, linear scar was consistently observed in all cases. Rate of misdiagnosis/missed diagnosis was 46.7%; seven such cases were noted -three patients were put on antituberculosis chemotherapy, 3 , 4 one on multiple steroid injections, 12 and three other cases on antibiotics and/or analgesics.…”

Section: Clinical Presentationmentioning

confidence: 70%

“…This is because of the prevalent practice of tying ceremonial rubber bands on the wrist in many religious societies and communities in India. 3 , 4 , 17 All cases reported are in infants and children less than six years of age. The rubber band tends to stay hidden in the wrist crease; especially in infants and young children who tend to have chubby forearms and hands.…”

Section: Discussionmentioning

confidence: 99%

“…3 , 4 There is gradual, painless penetration of the rubber band through the soft tissue due to the rapid growth in this age group; re-epithelisation of skin over the buried rubber band makes a retrospective diagnosis difficult. 3 , 4 , 17 These patients often present late due to neglect by parents and also due to the young age of the affected children.…”

Section: Discussionmentioning

confidence: 99%

“…3 Multiple sinuses or ulcers can also be seen at presentation. 3 , 4 , 8 , 10 , 17 This syndrome can be easily missed if the clinician doesn't have a high index of suspicion and patients can be mistreated for tuberculosis (which is endemic in India). 3 , 4 Soft tissue constriction sign is a reliable radiological sign to diagnose this syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…Vast majority of cases (86.67%) reported have affected the distal forearm/wrist region (13 out of the 15 reported cases). 3-5 , 7-9 , 12 , 13 , 17 The other two cases pertain to the arm and thigh. 10 , 11 The right side was affected in 10 cases whereas the left side was affected in five cases.…”

Section: Clinical Presentationmentioning

confidence: 99%

See 4 more Smart Citations

The ‘forgotten rubber band’ syndrome – A systematic review of a uniquely ‘desi’ complication with a case illustration

John

Khurana

Raj

et al. 2019

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Background: Once an exceedingly rare entity, multiple cases of forgotten rubber band syndrome or the socalled 'dhaaga' syndrome have now been reported in the literature. Objectives: To conduct a thorough and systematic review of the literature for all articles reporting a chronic type of rubber band syndrome and to present an additional similar case as an illustration. Study design: Systematic review and case report. Methodology: PubMed, EMBASE and Google Scholar databases were searched for relevant articles using different combinations of the keywords till 20 th June 2017. All articles reporting cases of chronic rubber band syndrome with a discharging sinus were included. Pearling of the bibliographies of selected articles was conducted to locate articles missed by the primary database search. Data from these reports were collected on pre-defined forms and the results were analysed. Results: A total of 15 cases have been reported in the literature so far and all cases are from India. Thirteen of these have been reported in the wrist region. Median duration of presentation is 7.6 months after the application of elastic band. Characteristic clinical signs are a circumferential linear scar with discharging sinus (multiple sinuses noted in around one-fourth of the cases). 'Soft tissue constriction sign' on plain radiograph is pathognomonic for this condition. Rate of missed/misdiagnosis is very high (46.7%) and it has been confused with tubercular osteomyelitis which is endemic in India. All cases responded to surgical debridement of circumferential fibrous tissue and foreign body removal with good functional outcomes. Conclusions: A high index of suspicion must be maintained for this 'syndrome' in chronic osteomyelitis cases presenting with a linear, circumferential scar and discharging sinus in India. Soft tissue constriction sign on plain radiographs are pathognomonic.

show abstract

Section: Clinical Presentationmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

See 3 more Smart Citations

The ‘forgotten rubber band’ syndrome – A systematic review of a uniquely ‘desi’ complication with a case illustration

John

Khurana

Raj

et al. 2019

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

‘Constriction Band Syndrome’: Retained Rubber Band as a Less-Known Cause of Pain and Non-healing Sinus Tracts of Wrist in a Paediatric Patient

Jani,

Sahu,

Akram

et al. 2024

JOIO

View full text Add to dashboard Cite

Rubber band syndrome, a diagnostic dilemma: case series

Pandey,

Jaiswal,

Singh

2023

Int Surg J

View full text Add to dashboard Cite

Elastic bands or threads are worn on the wrist, ankle, fingers and sometimes neck, in many religious societies of India as part of their rituals or decorative purpose. It tends to stay hidden in the skin crease. When worn for a long duration, there is gradual, painless penetration of the band through the soft tissue. In neglected cases, re-epithelisation of skin over the buried band occurs. There is subsequent soft tissue infection and features suggestive of compression of the underlying connective tissue. In this article, we present a series of three cases with Rubber Band Syndrome, difficult to diagnose due to forgotten history. They were confirmed to have been suffering from Rubber Band Syndrome only after intra-operative finding of an embedded elastic band in soft tissue during surgical exploration. The buried rubber band was removed and circumferential fibrous tissue were excised followed by physiotherapy and rehabilitation. Aim was to emphasize on need of maintaining a high index of suspicion to diagnose Rubber Band Syndrome in cases, especially in young children, older individuals and people with cognitive impairment, presenting with linear, circumferential scar having compression symptoms. Surgical removal of buried rubber band was successful in all cases. Post-operative follow-up over a mean period of one year have shown a surprisingly good outcome with respect to limb function. A high index of suspicion is required to diagnose Rubber Band Syndrome in cases, especially in young children, older individuals and people with cognitive impairment, presenting with linear, circumferential scar having compression symptoms. It can be treated permanently by a simple surgery of foreign body removal and excision of circumferential fibrous tissue followed by physiotherapy and rehabilitation.

show abstract

“Missed Band Under the Band”: Don’t Miss it !

Cited by 5 publications

References 4 publications

The ‘forgotten rubber band’ syndrome – A systematic review of a uniquely ‘desi’ complication with a case illustration

The ‘forgotten rubber band’ syndrome – A systematic review of a uniquely ‘desi’ complication with a case illustration

‘Constriction Band Syndrome’: Retained Rubber Band as a Less-Known Cause of Pain and Non-healing Sinus Tracts of Wrist in a Paediatric Patient

Rubber band syndrome, a diagnostic dilemma: case series

Contact Info

Product

Resources

About