Takayuki Nemoto’s scientific contributions

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Publications (1)


Figure 1. Preoperative photographs. A Palmar view showing a circumferential scar on the proximal wrist crease and a skin ulcer on the side of the palmar joint. B Lateral view showing hand contraction in an intrinsic minus position.
Figure 2. Preoperative plain radiographs confirming slight indentation on the radial bone (arrows). A Anteroposterior view. B Lateral view.
Figure 3. Preoperative MRI. A Sagittal T2-weighted imaging showing edematous changes in the whole hand and a cord-like object (arrowhead) compressing the median nerve (arrow). B Axial T1-weighted imaging at the level of nerve entrapment showing a cord-like object on the volar side (arrowheads); the median nerve is not visible due to entrapment. C Axial T1-weighted imaging at 1 slice distal from image B, showing a cord-like object on the dorsal side (arrowheads), with the median nerve visible on the volar side (arrow).
Figure 4. Intraoperative photographs. A The rubber band constricting the median nerve before removal. B The actual size of the rubber band after removal.
Figure 5. Postoperative photographs showing range of motion of the wrists at 1 year after surgery. A Dorsal flexion of 47 /65 (affected/healthy wrist) and B flexion of 66 /80 .
A Case of an Elderly Patient With Rubber Band Syndrome
  • Article
  • Full-text available

August 2021

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97 Reads

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6 Citations

Journal of Hand Surgery Global Online

Erica Amemiya

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Kazuhiro Maeda

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Takayuki Nemoto

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[...]

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Mitsuru Saito

Rubber band syndrome is a relatively rare disease in which a rubber band around a limb becomes embedded under the skin, resulting in tissue damage. Most reported cases are in children, and its occurrence in adults is considered extremely rare. We present a case of a 71-year-old patient with cognitive impairment, in whom a rubber band around the wrist became embedded under the skin. The examination of the distinctive circumferential scar, ultrasonography, x-ray, and magnetic resonance imaging led to the diagnosis of rubber band syndrome. To avoid further damage to the tissue, surgical removal of the band was conducted. When elderly patients with cognitive impairment present with chief complaints of swelling and contracture in the limbs due to an unknown cause, accompanied by a circumferential scar on the affected limb, rubber band syndrome should be considered. Due to risk of deep tissue necrosis, prompt band removal is necessary.

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Citations (1)


... [6,7] The severity of complications such as tendon, neurovascular, and bone injuries depends on the depth of impact by the rubber band, which is influenced by various factors such as the size of the afflicted site, size, and durability of the rubber band, and the amount of the time elapsed between the onset of symptoms and the removal of the band. [8] Tracheocutaneous fistula has been reported 8 years after the forgotten rubber band in the neck. [9] Early diagnosis and treatment are crucial in preventing severe complications and preserving limb function. ...

Reference:

Band in Hand - A Case Report of Rubber Band Syndrome
A Case of an Elderly Patient With Rubber Band Syndrome

Journal of Hand Surgery Global Online