Hair toe tourniquet syndrome in a four-year-old boy

J Emerg Med. 2013 Feb;44(2):358-9. doi: 10.1016/j.jemermed.2012.03.004. Epub 2012 May 31.


Background: Hair toe tourniquet syndrome is a condition in which a hair or thread encircles a digit and results in acute digital ischemia. It usually occurs in children under the age of 1 year. Prompt recognition and surgical removal of the constricting material can save the digit from irreversible tissue necrosis and the loss of digit.

Case report: We report the first known case of hair toe tourniquet syndrome in a 4-year-old child, who had successful diagnosis and treatment of this condition.

Conclusion: We suggest that hair toe tourniquet syndrome should be considered as a cause of acute digital swelling and discoloration in children of all ages.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Constriction, Pathologic / complications
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery
  • Hair*
  • Humans
  • Ischemia / diagnosis
  • Ischemia / etiology*
  • Ischemia / surgery
  • Male
  • Syndrome
  • Toes / blood supply*
  • Toes / surgery