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Hair-Thread Tourniquet Syndrome in an Infant With Bony Erosion: A Case Report, Literature Review, and Meta-analysis

Mat Saad, Arman Z. MB, AFRCSI; Purcell, Elizabeth M. MB; McCann, Jack J. FRCS(Plas)

doi: 10.1097/
Review Article

Hair-thread tourniquet syndrome is a rare condition where appendages are strangulated by an encircling strand of hair, a thread, or a fiber. The condition usually occurs in very young patients in the first few months of life. We present a unique case of a 3-month-old baby girl with hair-thread tourniquet syndrome in whom a hair cheese-wired through the skin and soft tissue of the toe and caused bony erosion of the underlying phalanx. An extensive literature review and meta-analysis of the topic are also presented.

From the Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Ireland.

Received December 2, 2005, and accepted for publication, after revision, March 13, 2006.

Reprints: Arman Z. Mat Saad, Department of Plastic Reconstructive Surgery, University College Hospital, Newcastle Road, Galway, Ireland. E-mail:

© 2006 Lippincott Williams & Wilkins, Inc.