Hair Tourniquet Syndrome of the Toe: Report of Two New Cases

December 2009 in “ Journal of Pediatric Orthopaedics ”

Serafín García-Mata, Ángel Hidalgo-Ovejero

Hair Tourniquet Syndrome HTS tissue strangulation dorsal paratendinous incisions amputation pediatric orthopaedic

TLDR Two babies needed surgery to remove hair tightly wrapped around their toes to prevent serious injury.

The document presents two cases of Hair Tourniquet Syndrome (HTS), where a hair or fiber wrapped tightly around the toes of an 18-month-old girl and a 5-month-old boy, causing tissue strangulation. Despite initial non-surgical attempts to remove the hair, surgery was required, involving dorsal paratendinous incisions to release the constriction. The report highlights the challenges in diagnosing HTS, especially when the hair is not visible, and underscores the importance of early detection and management to prevent severe outcomes like amputation. It recommends a specific surgical approach for severe cases and emphasizes the need for parental vigilance to prevent this condition. The paper aims to increase awareness within the pediatric orthopaedic community about HTS and the necessity of prompt intervention.

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Research cited in this study

6 / 6 results

research Hair Tourniquet Syndrome in an Infant

14 citations, February 2007 in “The Journal of Bone and Joint Surgery”

A baby's toe was saved from serious damage by quickly removing a hair wrapped tightly around it.

research Hair-Thread Tourniquet Syndrome in an Infant With Bony Erosion

43 citations, September 2006 in “Annals of Plastic Surgery”

A hair wrapped tightly around an infant's toe caused severe damage, requiring early removal and possibly surgery to prevent worse outcomes like amputation.

research Toe-Tourniquet Syndrome: A Diagnostic Dilemma

22 citations, July 2006 in “Annals of The Royal College of Surgeons of England”

Hair or fiber wrapped tightly around a toe can lead to serious injury if not treated quickly.

research Hair-Tourniquet Syndrome: Multiple Toes and Bilaterality

21 citations, July 2005 in “European Journal of Emergency Medicine”

Hair-tourniquet syndrome can cause serious toe injuries in infants but can be treated if found early.

research Hair-Thread Tourniquet Syndrome

37 citations, March 2005 in “Journal of Paediatrics and Child Health”

A hair strand caused a rare case of limb strangulation in a teenage girl with autism, and the condition is not always linked to child abuse.

research Toe Tourniquet Syndrome in Association With Maternal Hair Loss

45 citations, March 2003 in “Pediatrics”

Baby's toe injury linked to mom's hair loss; check baby's toes and be careful with fruit gel snacks.

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