Hair Tourniquet Syndrome of Toes and Fingers in Infants

The study examined hair tourniquet syndrome (HTS) in infants, where hair or thread can cause strangulation of appendages. It included 16 patients (8 boys and 8 girls, mean age 118.5 days) who underwent surgical treatment for HTS affecting 24 toes and fingers, predominantly on the right side. Symptoms lasted an average of 1.5 days and included excessive crying, swelling, and redness. All patients were treated successfully without complications. The study, with a Level IV evidence, suggests that HTS should be considered in infants with appendage strangulation and highlights the effectiveness of immediate hair removal, the need for thorough examination of infants, and parent education about HTS.