Current Approach to the Evaluation and Management of Hair-Thread Tourniquets

Pediatr Emerg Care. 2019 May;35(5):377-379. doi: 10.1097/PEC.0000000000001827.


Hair-thread tourniquet syndrome is a rare, painful condition that occurs when a strand of hair or thread becomes wrapped around toes, fingers, or other appendages. This causes focal edema, which eventually reduces arterial blood flow and can lead to ischemia and necrosis. A thorough physical examination and assessment of risk factors are important. Treatment involves depilatory agents or targeted incision at the bedside or in the operating room. Successfully treated cases can be discharged with local wound care. Parents should be advised on prevention strategies and ensure close follow-up for reexamination.

Publication types

  • Review

MeSH terms

  • Constriction, Pathologic
  • Edema / etiology*
  • Hair*
  • Humans
  • Infant
  • Ischemia / etiology*
  • Syndrome
  • Tourniquets*