Hair tourniquet syndrome of the toe: report of 2 new cases

Journal of Pediatric Orthopedics
Serafín García-Mata, Angel Hidalgo-Ovejero

Abstract

This report describes 2 new cases of toe tourniquet syndrome without accompanying signs of irritability. They were an 18-month-old girl and a 5-month-old boy suffering from strangulation of the third toe. The period of evolution was 20 days and 5 weeks. The toe worsened, with more extensive reddening and swelling, and deepening of the circular groove. Since a hair tourniquet was suspected, attempts were made to grasp the fiber with small-sized, blunt, and hook-shaped instruments, and mosquito clamp, with no success. The strand of hair compressing the toe lay deeper than expected. As improvement was barely noticeable, 2 dorsal paratendinous incisions were made and the hairs were extracted. Our aim is to raise awareness in the pediatric orthopaedic community of the existence of this syndrome, with a view to promoting the earliest possible diagnosis and appropriate management. In case of impossibility of removing the hairs we propose performing 2 dorsal paratendinous incisions, deep to the bone, to release completely the strangulation.

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Citations

Mar 8, 2011·Pediatric Emergency Care·Aisling O'Gorman, Savithiri Ratnapalan
Nov 3, 2012·Case Reports in Medicine·Niroshan Sivathasan, Lavnya Vijayarajan
Sep 23, 2014·Annals of Emergency Medicine·Jocelyn A PlesaRobert W Hickey
May 23, 2018·Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association·Julia Booth, Tim Morse
Nov 3, 2017·BMJ Case Reports·Louise DunphyMichael Lamyman
Jun 14, 2016·Journal of Pediatric Orthopedics. Part B·Esat UygurEthem Ünkar

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