Constriction syndrome caused by a non-elastic structure like a strand of hair wrapping around a toe presents acutely with swelling and ischaemic pain. Meanwhile, constriction caused by an elastic structure such a rubber band presents more gradually with tissue oedema, skin necrosis, sprout of granulation tissue, and with the rubber band burrowing under the skin. We report a 9 -year-old girl with a delayed presentation of constriction by a non -elastic cable tie on the wrist that was burrowed by soft tissue, which was complicated with soft tissue infection and osteomyelitis. She was treated with a surgical release, dressing, and antibiotics.

Distal femoral physeal fractures in adolescents are often due to high velocity injuries. We present an unusual case of a non-contact distal femoral physeal fracture that occurred during a football match. A torsional force had been directed at the fracture site occurring at the growth plate causing a transverse fracture rather than a spiral fracture. It is important to be aware that such fractures can occur despite little or no evidence of contact. These type of injuries should also be treated as an emergency to reduce the risk of further complications.