Hair Tourniquet Syndrome in the Pediatric Population: A Case Report
Article Sidebar
Published:
Dec 20, 2023
Keywords:
Tourniquet syndrome, children, foot
Main Article Content
Abstract
Tourniquet syndrome is a rare condition that usually affects the pediatric population. It consists of a decrease in blood supply due to circumferential strangulation of some parts of the body, mainly fingers or toes, external genitalia or other appendages.In most cases, the causative agent is usually a strand of hair, although other elements have been described, such as synthetic fibers from the patient’s clothing. The aim of this study is to report a case of a patient with hair tourniquet syndrome and to review the available literature. The patient is a 3-month-old female with hair tourniquet syndrome, with involvement of the fourth toe of the right foot, who was brought to the emergency department for significant soft tissue edema. The patient evolved favorably after removal of the causative agent (hair strand) from the base of the fourth toe and recovery of irrigation was complete. Although tourniquet syndrome is a rare entity, early diagnosis and treatment is essential to avoid potentially severe complications.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Turazza, F., Yunes, J., & Masquijo, J. J. (2023). Hair Tourniquet Syndrome in the Pediatric Population: A Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(6), 676-680. https://doi.org/10.15417/issn.1852-7434.2023.88.6.1708
Issue
Section
Case Presentations
Copyright (c) 2023 Revista de la Asociación Argentina de Ortopedia y Traumatología
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Claudet I, Pasian N, Debuisson C, Salanne S, Rekhroukh H. Tourniquet syndrome: Interest of a systematic analysis of families’ social conditions to detect neglect situations. Child Abuse Negl 2009;33(9):569-72. https://doi.org/10.1016/j.chiabu.2009.03.003
2. Cevik Y, Kavalci C. Hair tourniquet syndrome. Ann Saudi Med 2010;30(5):416-7. https://doi.org/10.4103/0256-4947.67088
3. Uygur E, Çarkçi E, Ünkar E. Can washing socks without flipping inside out cause hair tourniquet syndrome? A claim with two case reports. J Pediatr Orthop B 2017;26(2):193-4. https://doi.org/10.1097/BPB.0000000000000348
4. García-Mata S, Hidalgo-Ovejero A. Hair tourniquet syndrome of the toe: report of 2 new cases. J Pediatr Orthop 2009;29(8):860-4. https://doi.org/10.1097/BPO.0b013e3181b7ff14
5. Quinn NJ Jr. Toe tourniquet syndrome. Pediatrics 1971;48(1):145-6. https://doi.org/10.1542/peds.48.1.145
6. Barton D, Sloan G, Nichter L, Reinisch JF. Hair-thread tourniquet syndrome. Pediatrics 1988;82:925-8.
PMID: 3186385
7. Dey R, Zameer MM, Vinay C, Rao, S. Hair tourniquet of the uvula. J Indian Assoc Pediatr Surg 2022;27(2):261-2. https://doi.org/10.4103/jiaps.JIAPS_365_20
8. Sylwestrzak MS, Fischer BF, Fischer H. Recurrent clitoral tourniquet syndrome. Pediatrics 2000;105(4 Pt 1):866-7. https://doi.org/10.1542/peds.105.4.866
9. Schneider K, Kennebeck S, Madden L, Campbell A. Hair tourniquet of the circumvallate papillae: a potentially “hairy” situation. Pediatr Emerg Care 2013;29(8):924-5. https://doi.org/10.1097/PEC.0b013e31829ec4c7
10. Haddad FS. Penile strangulation by human hair: report of 3 cases and review of literature. Urol Int 1982;37(6):375-88. https://doi.org/10.1159/000280843
11. Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and metaanalysis. Ann Plast Surg 2006;57(4):447-52. https://doi.org/10.1097/01.sap.0000222571.98387.71
12. Mackey S, Hettiaratchy S, Dickinson J. Hair-tourniquet syndrome-multiple toes and bilaterality. Eur J Emerg Med 2005;12(4):191-2. https://doi.org/10.1097/00063110-200508000-00009
13. Alpert JJ, Filler R, Glaser HH. Strangulation of an appendage by hair wrapping. N Engl J Med 1965;273(16):866-7. https://doi.org/10.1056/NEJM196510142731608
14. Parlak M, Karakaya AE. Hair-thread tourniquet syndrome of the hypertrophic clitoris in a 6-year-old girl. Pediatr Emerg Care 2015;31(5):363-4. https://doi.org/10.1097/PEC.0000000000000341
15. Corazza M, Carla E, Altieri E, Virgili A. What syndrome is this? Tourniquet syndrome. Pediatr Dermatol
2002;19(6):555-6. https://doi.org/10.1046/j.1525-1470.2002.00233.x
16. Strahlman RS. Toe tourniquet syndrome in association with maternal hair loss. Pediatrics 2003;111(3):685-7. https://doi.org/10.1542/peds.111.3.685
17. Martonovich N, Khatib M, Assaf M. Hair tourniquet syndrome: A retrospective study. Pediatr Dermatol 2022 Sep 30. https://doi.org/10.1111/pde.15151
18. Klusmann A, Lenard HG. Tourniquet syndrome-accident or abuse? Eur J Pediatr 2004;163(8):495-8; discussion 499. https://doi.org/10.1007/s00431-004-1466-1
19. Singh B, Kim H, Wax S. Strangulation of glans penis by hair. Urology 1978;11(2):170-2. https://doi.org/10.1016/0090-4295(78)90100-0
20. Thomas AJ, Timmonjs JW, Perlmutter AD. Progressive penile amputation tourniquet injury secondary to hair. Urology 1977;9(1):42-4. https://doi.org/10.1016/0090-4295(77)90282-5
21. Webley JA, Scheif DR, Coleman J. Tourniquet syndrome: an unusual presentation. Ann Emerg Med 1981;10(9):494-5. https://doi.org/10.1016/s0196-0644(81)80288-0
22. Serour F, Gorenstein A. Treatment of the toe tourniquet syndrome in infants. Pediatr Surg Int 2003;19(8):598-600. https://doi.org/10.1007/s00383-003-1034-1
23. Aslantürk O, Özbey R, Yılmaz Ö, Ergen E. Hair tourniquet syndrome of toes and fingers in infants. Acta Orthop Traumatol Turc 2019;53(4):306-9. https://doi.org/10.1016/j.aott.2019.04.010
2. Cevik Y, Kavalci C. Hair tourniquet syndrome. Ann Saudi Med 2010;30(5):416-7. https://doi.org/10.4103/0256-4947.67088
3. Uygur E, Çarkçi E, Ünkar E. Can washing socks without flipping inside out cause hair tourniquet syndrome? A claim with two case reports. J Pediatr Orthop B 2017;26(2):193-4. https://doi.org/10.1097/BPB.0000000000000348
4. García-Mata S, Hidalgo-Ovejero A. Hair tourniquet syndrome of the toe: report of 2 new cases. J Pediatr Orthop 2009;29(8):860-4. https://doi.org/10.1097/BPO.0b013e3181b7ff14
5. Quinn NJ Jr. Toe tourniquet syndrome. Pediatrics 1971;48(1):145-6. https://doi.org/10.1542/peds.48.1.145
6. Barton D, Sloan G, Nichter L, Reinisch JF. Hair-thread tourniquet syndrome. Pediatrics 1988;82:925-8.
PMID: 3186385
7. Dey R, Zameer MM, Vinay C, Rao, S. Hair tourniquet of the uvula. J Indian Assoc Pediatr Surg 2022;27(2):261-2. https://doi.org/10.4103/jiaps.JIAPS_365_20
8. Sylwestrzak MS, Fischer BF, Fischer H. Recurrent clitoral tourniquet syndrome. Pediatrics 2000;105(4 Pt 1):866-7. https://doi.org/10.1542/peds.105.4.866
9. Schneider K, Kennebeck S, Madden L, Campbell A. Hair tourniquet of the circumvallate papillae: a potentially “hairy” situation. Pediatr Emerg Care 2013;29(8):924-5. https://doi.org/10.1097/PEC.0b013e31829ec4c7
10. Haddad FS. Penile strangulation by human hair: report of 3 cases and review of literature. Urol Int 1982;37(6):375-88. https://doi.org/10.1159/000280843
11. Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and metaanalysis. Ann Plast Surg 2006;57(4):447-52. https://doi.org/10.1097/01.sap.0000222571.98387.71
12. Mackey S, Hettiaratchy S, Dickinson J. Hair-tourniquet syndrome-multiple toes and bilaterality. Eur J Emerg Med 2005;12(4):191-2. https://doi.org/10.1097/00063110-200508000-00009
13. Alpert JJ, Filler R, Glaser HH. Strangulation of an appendage by hair wrapping. N Engl J Med 1965;273(16):866-7. https://doi.org/10.1056/NEJM196510142731608
14. Parlak M, Karakaya AE. Hair-thread tourniquet syndrome of the hypertrophic clitoris in a 6-year-old girl. Pediatr Emerg Care 2015;31(5):363-4. https://doi.org/10.1097/PEC.0000000000000341
15. Corazza M, Carla E, Altieri E, Virgili A. What syndrome is this? Tourniquet syndrome. Pediatr Dermatol
2002;19(6):555-6. https://doi.org/10.1046/j.1525-1470.2002.00233.x
16. Strahlman RS. Toe tourniquet syndrome in association with maternal hair loss. Pediatrics 2003;111(3):685-7. https://doi.org/10.1542/peds.111.3.685
17. Martonovich N, Khatib M, Assaf M. Hair tourniquet syndrome: A retrospective study. Pediatr Dermatol 2022 Sep 30. https://doi.org/10.1111/pde.15151
18. Klusmann A, Lenard HG. Tourniquet syndrome-accident or abuse? Eur J Pediatr 2004;163(8):495-8; discussion 499. https://doi.org/10.1007/s00431-004-1466-1
19. Singh B, Kim H, Wax S. Strangulation of glans penis by hair. Urology 1978;11(2):170-2. https://doi.org/10.1016/0090-4295(78)90100-0
20. Thomas AJ, Timmonjs JW, Perlmutter AD. Progressive penile amputation tourniquet injury secondary to hair. Urology 1977;9(1):42-4. https://doi.org/10.1016/0090-4295(77)90282-5
21. Webley JA, Scheif DR, Coleman J. Tourniquet syndrome: an unusual presentation. Ann Emerg Med 1981;10(9):494-5. https://doi.org/10.1016/s0196-0644(81)80288-0
22. Serour F, Gorenstein A. Treatment of the toe tourniquet syndrome in infants. Pediatr Surg Int 2003;19(8):598-600. https://doi.org/10.1007/s00383-003-1034-1
23. Aslantürk O, Özbey R, Yılmaz Ö, Ergen E. Hair tourniquet syndrome of toes and fingers in infants. Acta Orthop Traumatol Turc 2019;53(4):306-9. https://doi.org/10.1016/j.aott.2019.04.010