Document Detail


Hair tourniquet syndrome of the toe: report of 2 new cases.
MedLine Citation:
PMID:  19934699     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes 2 new cases of toe tourniquet syndrome without accompanying signs of irritability. They were an 18-month-old girl and a 5-month-old boy suffering from strangulation of the third toe. The period of evolution was 20 days and 5 weeks. The toe worsened, with more extensive reddening and swelling, and deepening of the circular groove. Since a hair tourniquet was suspected, attempts were made to grasp the fiber with small-sized, blunt, and hook-shaped instruments, and mosquito clamp, with no success. The strand of hair compressing the toe lay deeper than expected. As improvement was barely noticeable, 2 dorsal paratendinous incisions were made and the hairs were extracted. Our aim is to raise awareness in the pediatric orthopaedic community of the existence of this syndrome, with a view to promoting the earliest possible diagnosis and appropriate management. In case of impossibility of removing the hairs we propose performing 2 dorsal paratendinous incisions, deep to the bone, to release completely the strangulation.
Authors:
Seraf?n Garc?a-Mata; Angel Hidalgo-Ovejero
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  29     ISSN:  1539-2570     ISO Abbreviation:  J Pediatr Orthop     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  860-4     Citation Subset:  IM    
Affiliation:
Trauma and Orthopaedic Surgery Service, Hospital Virgen del Camino, Pamplona, Spain. sgmata@telefonica.net
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MeSH Terms
Descriptor/Qualifier:
Constriction, Pathologic
Female
Hair*
Humans
Infant
Ischemia / diagnosis,  etiology*,  surgery
Male
Orthopedic Procedures
Syndrome
Toes / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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