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: 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: 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: 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