المؤلفون: Jordan Gitlin, Justin Loloi, Darian Andreas

المصدر: Journal of Clinical Urology. 16:51-54

مصطلحات موضوعية: Tourniquet, medicine.medical_specialty, business.industry, Urology, medicine.medical_treatment, 030232 urology & nephrology, Hair tourniquet, medicine.disease, Surgery, Late presentation, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Amputation, 030220 oncology & carcinogenesis, Medicine, Autism, business, Glans, Penis

الوصف: Penile hair tourniquet syndrome is a rare phenomenon that classically affects boys during their first few years of life. We report a late presentation of an 8-year old nonverbal, severely autistic male with a several-month-long history of a progressing penile hair tourniquet. The persistence of this constricting band led to severe anatomic defects, including near amputation of the glans, with transection of the urethra creating a distal fistula, and erosion through the majority of the cavernosal bodies. Our case highlights the critical importance of vigilant care and high index of suspicion, particularly in vulnerable patient populations such as young boys with autism spectrum disorder. Urgent evaluation and removal of the offending foreign body is required, with use of sedation or anesthesia if necessary.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::119e95fc4e05eddc5cebb60c128cd110Test
https://doi.org/10.1177/2051415820939465Test

المؤلفون: Emre Ergen, Rafet Özbey, Ozgur Yilmaz, Okan Aslantürk

المصدر: Acta Orthopaedica et Traumatologica Turcica, Vol 53, Iss 4, Pp 306-309 (2019)
Acta Orthopaedica et Traumatologica Turcica

مصطلحات موضوعية: Male, Child abuse, medicine.medical_specialty, medicine.medical_treatment, Constriction, Pathologic, Thumb, Hair tourniquet, Toe, Time-to-Treatment, Fingers, 03 medical and health sciences, 0302 clinical medicine, lcsh:Orthopedic surgery, Ischemia, Finger Injuries, medicine, Hair removal, Humans, Orthopedics and Sports Medicine, Amputation, 030222 orthopedics, Crying, business.industry, Infant, Syndrome, 030229 sport sciences, General Medicine, Toes, medicine.disease, Surgery, body regions, lcsh:RD701-811, Treatment Outcome, medicine.anatomical_structure, Etiology, Female, Strangulation, medicine.symptom, Emergency Service, Hospital, business, Research Article, Hair

الوصف: Objective: Hair tourniquet syndrome is an uncommon condition characterized by strangulation appendages by a hair or thread. The aim of this study was to evaluate the results of hair removal and antibiotic therapy in our patients with hair tourniquet syndrome. Methods: Between January 2012 and August 2018, 16 patients (8 boys, 8 girls; mean age: 118.5 [range: 20 to 380] days) were treated surgically for hair tourniquet syndrome. All patients were treated surgically under local or general anesthesia in the pediatric emergency department or in the operating theater using magnifying loupes. The age, gender, affected fingers or toes and the affected sides of the patients and the duration of symptoms until presentation were recorded. Results: A total of 24 toes and fingers were treated for hair tourniquet syndrome. The right side was affected in 12 patients, the left side was affected in three, and both sides in one. The second toe was affected in three patients, the third toe in eleven, the fourth in six, and the fifth in two patients. Both the thumb and the second finger were affected in one patient. The average duration of the symptoms (excessive crying, swelling, redness) was 1.5 (range: 1 to 2) days. All patients healed without any complications. Conclusion: Hair tourniquet syndrome should be kept in mind as an etiology in infants with toe and finger strangulation. These patients should be examined undressed. Immediate removal of hair is an effective treatment method to save appendage. Level of evidence: Level IV, Therapeutic Study Keywords: Hair tourniquet, Child abuse, Amputation, Strangulation, Toe

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e83a9cf513419a7d5c54b33d7530410fTest
http://www.sciencedirect.com/science/article/pii/S1017995X18304875Test

المؤلفون: Burak Özçift, Koray Ağras

المصدر: Türk Üroloji Dergisi/Turkish Journal of Urology. 45:322-324

مصطلحات موضوعية: Penile gangrene, medicine.medical_specialty, Pediatric Urology, Urethral fistula, business.industry, medicine.medical_treatment, Coronal sulcus, Hair tourniquet, medicine.disease, Surgery, medicine.anatomical_structure, Amputation, Etiology, Medicine, Major complication, business, Penis

الوصف: Penile Hair Tourniquet Syndrome (HTS) is a rare event but a serious syndrome characterized by the presence of a hair coiled around the coronal sulcus of penis which causes a range of pathologies from glandular swelling to necrosis and amputation of penis. If diagnosis is delayed, long-term complications such as urethral fistula, urethral transection, and penile gangrene or amputation develop. Penile HTS is almost exclusively described in circumcised boys. Prevention of such major complications depends on awareness of the etiology and presence of a high index of suspicion. Herein, we aimed to present a boy who was 4 years old with a penile HTS caused by wrapping of his mother's hair coil.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::97145febf69e802bfca8a033f9a970e7Test
https://doi.org/10.5152/tud.2018.36699Test

المؤلفون: Jad A. Degheili, Bilal Aoun, Jose M. El-Asmar

المصدر: Clinical Case Reports, Vol 7, Iss 7, Pp 1452-1453 (2019)
Clinical Case Reports

مصطلحات موضوعية: medicine.medical_specialty, medicine.medical_treatment, Poison control, urological emergency, lcsh:Medicine, 030204 cardiovascular system & hematology, Hair tourniquet, 03 medical and health sciences, 0302 clinical medicine, penile amputation, penis, Clinical Images, Edema, medicine, otorhinolaryngologic diseases, hair strangulation, Penile pain, lcsh:R5-920, integumentary system, business.industry, lcsh:R, General Medicine, medicine.disease, Penile necrosis, Surgery, medicine.anatomical_structure, Amputation, Clinical Image, 030220 oncology & carcinogenesis, sense organs, Presentation (obstetrics), medicine.symptom, business, lcsh:Medicine (General), Penis, penile necrosis

الوصف: Penile hair strangulation is secondary to a hair tourniquet effect. Albeit a rare presentation in pediatric emergency units, penile hair strangulation must be cautiously noted in any penile pain and edema, to avoid inevitable damage to external genitalia, including penile necrosis, urethrocutaneous fistula, and even amputation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::58c23b2bdd2d4a9b0e1bc087cbffc94fTest
https://doaj.org/article/b31b9ac34591455387e3436cd46ceceeTest

المؤلفون: P Ganaisan, M S Masran, Paisal Hussin, Maliza Mawardi

مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.medical_treatment, Treatment outcome, Constriction, Pathologic, Hair tourniquet, Thumb, Constriction, Clinical Practice, Diagnosis, Differential, Rare Diseases, Amputation, Traumatic, Ischemia, Medicine, Edema, Humans, Tourniquet, integumentary system, business.industry, Infant, Anatomy, Syndrome, Toes, Tourniquets, medicine.disease, equipment and supplies, Surgery, body regions, medicine.anatomical_structure, Treatment Outcome, Amputation, Emergency condition, Strangulate, Female, business, Hair

الوصف: Hair tourniquet syndrome is a rare condition. It is an important emergency condition where urgent attention is needed. In this condition, body appendages are strangulated by hair that acts like a tourniquet. A strand or strands of hair act like a circumferential constriction band and subsequently strangulate the body appendages. Commonly affected sites include fingers, toes or even genitals. Failure to identify and release the acute constriction may result in amputation of affected body part. We report two cases of hair tourniquet syndrome of the thumb and toe that were successfully released without complications.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8a07b0a35f9909253000c198d1f1a4dbTest
https://europepmc.org/articles/PMC4711978Test/

المؤلفون: Ethem Ayhan Ünkar, Esat Uygur, Engin Çarkçı

المصدر: Journal of Pediatric Orthopaedics B. 26:193-194

مصطلحات موضوعية: medicine.medical_specialty, Injury control, computer.internet_protocol, Accident prevention, medicine.medical_treatment, Poison control, Hair tourniquet, Clothing, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, medicine, Humans, Orthopedics and Sports Medicine, Laundering, 030222 orthopedics, business.industry, Infant, Toes, Tourniquets, medicine.disease, Surgery, SOCKS, Amputation, Pediatrics, Perinatology and Child Health, Female, business, computer

الوصف: Hair tourniquet syndrome (HTS) is a rare, painful condition that results when hair or pieces of thread become wrapped tightly around toes, fingers, or other appendages, occluding blood flow and causing strangulation or amputation. Although the aetiology of HTS is unclear, we postulate that washing baby socks in a washing machine without turning them inside out might be a cause. Mothers should be informed about HTS and this simple prevention method should be suggested to them. Here, we present two cases of HTS and discuss possible causes.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1390e1236de1c810d18052c95f862a2fTest
https://doi.org/10.1097/bpb.0000000000000348Test

المؤلفون: Francis Serour, Arkadi Gorenstein

المصدر: Pediatric Surgery International. 19:598-600

مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.medical_treatment, Ischemia, Constriction, Pathologic, Hair tourniquet, Amputation, Traumatic, Pediatric surgery, medicine, Humans, Retrospective Studies, Tourniquet, business.industry, Vascular disease, Textiles, Infant, Newborn, Infant, General Medicine, Toes, Tourniquets, medicine.disease, Surgery, body regions, Treatment Outcome, Amputation, Surgical Procedures, Operative, Anesthesia, Pediatrics, Perinatology and Child Health, Female, Foreign body, business, Autoamputation, Hair

الوصف: The "toe tourniquet syndrome" is the circumferential strangulation by human hair or fibers of one or more toes in infants, which may induce prolonged ischemic injury and tissue necrosis. Release of the strangulation is mandatory to avoid autoamputation of the digit. We recently encountered several incompletely treated cases and would like to emphasize the effective method of treatment.A retrospective analysis of pediatric emergency department records of patients treated for "toe tourniquet syndrome" during 1990 to 2001 was performed. Patients undergo a short, longitudinal, deep incision over the area of strangulation on the dorsal aspect of the toe, until the phalanx bone, which allows the complete section of the constricting fibers to be removed without injury to the anatomical structures of the toe.Twenty-one infants (12 boys and nine girls), aged 0-11 months (average 4.6 months), were treated for tourniquet syndrome of one (15 infants) or two (six patients) toes. In 12 patients (57.1%) the right foot was involved. Eight patients (38.1%) had undergone an attempt in the previous few days to release constriction. No complications were encountered.The above-described technique is simple and safe and secures the complete release of the strangulation by removal of all hairs or fibers without injury to the anatomical structures of the toe.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::935e91147d8eef7650f75d94d0996dedTest
https://doi.org/10.1007/s00383-003-1034-1Test

المؤلفون: Carol D. Berkowitz, Lynne M. Smith, Jennifer Kuo

المصدر: Obstetrics & Gynecology. 99:939-941

مصطلحات موضوعية: medicine.medical_specialty, Adolescent, medicine.medical_treatment, Clitoris, Physical examination, Hair tourniquet, Necrosis, Black hair, Amputation, Traumatic, medicine, Humans, Tourniquet, integumentary system, medicine.diagnostic_test, business.industry, Obstetrics and Gynecology, medicine.disease, Surgery, body regions, medicine.anatomical_structure, Amputation, Female, business, Autoamputation, Penis

الوصف: BACKGROUND: Hair tourniquet syndrome involves fibers of hair or thread wrapped around an appendage producing tissue necrosis. Appendages commonly involved include the toe, finger, and penis. We report a hair tourniquet resulting in amputation of the clitoris. CASE: An adolescent presented with a 4-year history of intermittent genital pain that increased in severity over the preceding 5 days. Physical examination revealed a necrotic clitoris surrounded by a black hair. During the examination, the tissue fell off resulting in immediate improvement in the patient’s pain. CONCLUSION: We report a case of a clitoral hair tourniquet syndrome leading to autoamputation of the clitoris. A high index of suspicion for this condition is important because of the potential consequences of delayed treatment.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2b548919a8f1203dfc159f5dd33436fcTest
https://doi.org/10.1016/s0029-7844Test(01)01753-7

المؤلفون: Dave R. Lal, Anahita Dua, Ramin Jamshidi

المصدر: Pediatric Emergency Care. 29:829-830

مصطلحات موضوعية: medicine.medical_specialty, medicine.medical_treatment, Clitoris, Hair tourniquet, Lacerations, Vulva, Acute ischemia, Ischemia, medicine, Humans, Sex organ, Child, Wound Healing, integumentary system, business.industry, General Medicine, equipment and supplies, medicine.disease, Surgery, body regions, medicine.anatomical_structure, Amputation, Labia minora, Pediatrics, Perinatology and Child Health, Emergency Medicine, Accidental Falls, Female, Complication, business, Penis, Hair

الوصف: Hair tourniquet syndrome has been recognized as a medical entity since the 1600 s. Appendages develop acute ischemia from tightening of hair strands circumferentially wrapped around them. Most commonly affected sites are fingers, toes, and penis, but limited reports have described involvement of the female genitalia. Although hair strangulation involving the labia minora or clitoris has been described, it typically occurs in young children. We present a case of an adolescent girl with a labial appendage hair tourniquet resulting from a previous unrepaired genital laceration. This is one of the oldest patients in whom a genital hair tourniquet has been reported, as well as description of a posttraumatic genital appendage. Genital hair tourniquets are medical emergencies that require prompt diagnosis and treatment to avoid tissue necrosis and possible amputation. Genital trauma in general requires surgical evaluation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::431374ed0484b2a30bb54cb7ac1cabe6Test
https://doi.org/10.1097/pec.0b013e3182986184Test