Yang Ge, Huang Yiyong, Ye Weihua, Yu Hui, Mei Haibo
Department of Orthopedic Surgery, the Hunan Children's Hospital, Changsha 410000, China.
Department of Orthopedic and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Transl Pediatr. 2020 Feb;9(1):66-69. doi: 10.21037/tp.2020.01.03.
We report a case of a 7-month-old girl who presented with 2 months history of redness and swelling syndromes around the left ankle. The local hospital diagnosis of left ankle soft tissue infection and gave antibiotic treatment. However, her symptoms were failed respond to the antibiotic treatment and suggested to transfer to our hospital. We gave this girl a detailed physical examination, when opening the ankle crease a hidden rubber band was found and the surrounding soft tissues were lacerated. As a result, the child was taken to surgery to remove the band and repair the lacerated structures and her postoperative recovery was well. A rubber band worn for decorative purpose or accidently by the child is sometimes missed by the parents and remains long unnoticed. For the clinical features of a linear constricting scar around the wrist or ankle in the presence of a swollen syndrome, it should always alert the clinician to the possibility of a forgotten band around the joints. This appears to be the first case of acquired rubber band syndrome reported occurred on children's ankle.
我们报告一例7个月大的女童，她有2个月的左踝周围红肿症状病史。当地医院诊断为左踝软组织感染并给予抗生素治疗。然而，她的症状对抗生素治疗无反应，遂建议转至我院。我们对该女童进行了详细的体格检查，打开踝部褶皱时发现一条隐藏的橡皮筋，周围软组织有裂伤。结果，该患儿接受手术取出橡皮筋并修复裂伤结构，术后恢复良好。用于装饰目的或儿童意外佩戴的橡皮筋有时会被家长忽略，长时间未被发现。对于腕部或踝部出现肿胀综合征且伴有线性收缩瘢痕的临床特征，临床医生应始终警惕关节周围有被遗忘的橡皮筋的可能性。这似乎是首例报道的发生在儿童踝部的后天性橡皮筋综合征病例。
