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一个紧缩性难题:橡皮筋综合征的临床见解

A Constrictive Quandary: Clinical Insights into Rubber Band Syndrome.

作者信息

Sharma Girish, Maurya Rajesh Kumar, Sharma Navneet

机构信息

Department of Plastic Surgery, Rawal Hospital, Karnal, Haryana, India.

Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India.

出版信息

J Indian Assoc Pediatr Surg. 2025 Jul-Aug;30(4):538-540. doi: 10.4103/jiaps.jiaps_13_25. Epub 2025 Apr 24.

Abstract

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.

摘要

橡皮筋综合征(RBS)是一种罕见但可能严重的病症,由在手指或肢体周围使用诸如橡皮筋等约束性物品引起。由于其临床表现多样、起病隐匿且与蜂窝织炎、创伤性损伤和甲沟炎等其他病症存在重叠,该综合征带来了诊断挑战。诊断过程基于恰当的病史、体格检查以及超声和磁共振成像等影像学技术。在出现坏死、感染或骨筋膜室综合征的病例中可能需要手术干预。本病例报告描述了通过手术探查对一名患有橡皮筋综合征儿童的治疗,并强调了临床表现、诊断挑战及治疗策略。包括家长教育、儿童监管以及橡皮筋安全存放在内的预防措施,对于降低该病症的发生率也至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac94/12316427/b0974b2b0877/JIAPS-30-538-g001.jpg

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