Maharjan, NJaiswal, SPokharel, PBDahal, P2025-11-232025-11-232018https://hdl.handle.net/20.500.14572/3229Maharjan N, Jaiswal S, Pokharel PB, Dahal P Department of Burns and Plastic Surgery, National Academy of Medical Sciences, Bir Hospital, Mahabouddha, Kathmandu, Nepal.ABSTRACT The superstitious beliefs of gaining a good fortune led to wearing rubber bands around the hand leading to the development of the constricting band syndrome. Acute compartment syndrome is a limb-threatening condition characterized by elevated interstitial pressure in a confined fascial compartment and if left untreated, it results in tissue necrosis, irreversible nerve and muscle injury and permanent functional impairment. We report a 46 years old male with history of wearing rubber hand on all his fingers, who presented late with gangrene and auto- amputation. KEY WORDS Acute compartment syndrome, Amputation, Awareness, Necrosis, Rubber band syndromeen-USAcute compartment syndromeAmputationAwarenessNecrosisRubber band syndromeArticle