Serious Delayed Hair Toe Tourniquet Syndrome with Bone Erosion and Flexor Tendon Lesion

In 2014, a case report detailed an 8-week-old girl who was diagnosed with Hair Toe Tourniquet Syndrome (HTTS), a rare pediatric emergency where a toe is constricted by hair or fibers, leading to ischemic strangulation. Initially misdiagnosed as an infection and treated with antibiotics, the condition worsened, resulting in necrosis of the third toe. Upon admission to the Orthopedic Department, a hair tourniquet was discovered and surgically removed, revealing bone erosion and a partial flexor tendon lesion. Postoperative treatment included systemic antibiotics, and after 5 weeks, the swelling decreased and the wound healed, although the third toe had decreased flexion. The report emphasized the importance of early recognition and urgent treatment of HTTS to prevent severe complications. The case was unique due to the combination of bone erosion and tendon lesion, which had not been previously described together in the context of HTTS.