Digital strangulation in a child: Tourniquet syndrome

Shankar, Raghu; Rao, Pooja; Shetty, Kishan B; Sahu, Pradeep Kumar; Singal, Rikki; Gupta, Sumiti

doi:10.4103/0378-6323.95489

Indian J Dermatol Venereol Leprol

2012

DOI: 10.4103/0378-6323.95489

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Digital strangulation in a child: Tourniquet syndrome

Raghu Shankar¹,

Pooja Rao²,

Kishan B Shetty³

et al.

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Cited by 2 publications

(2 citation statements)

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“…1 Most cases of digital constriction (tourniquet) syndromes occur in infants and mentally ill patients. 2,3 Delay in presenting for medical attention may happen for a variety of reasons. 2 –4 Etiologies of digital tourniquet syndrome include external constricting bands (eg, metal, plastic, hair) and traumatic, infectious, endocrinologic, allergic, rheumatologic, and dermatologic conditions.…”

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confidence: 99%

“…2,3 Delay in presenting for medical attention may happen for a variety of reasons. 2 –4 Etiologies of digital tourniquet syndrome include external constricting bands (eg, metal, plastic, hair) and traumatic, infectious, endocrinologic, allergic, rheumatologic, and dermatologic conditions. 1,2 Treatment of an acute edematous finger with a constricting ring requires urgent intervention.…”

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confidence: 99%

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The Hand-Powered Ring Cutter: A Useful Tool in Your Wilderness Medical Bag

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confidence: 99%

mentioning

confidence: 99%

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2015

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Hair-thread strangulation syndrome in childhood: a systematic review

Djokic,

Milani,

Lava

et al. 2023

Swiss Med Wkly

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INTRODUCTION: Hair-thread strangulation syndrome describes the constriction of a body part by a tightly wound hair or thread. This research aims to review the literature about this entity. METHODS: A systematic review was performed to characterise hair-thread strangulation syndrome in subjects aged ≤16 years. This pre-registered review (PROSPERO ID: CRD42022363996) followed the PRISMA methodology. RESULTS: Subjects with digital strangulation were significantly younger (median = 4.0 [interquartile range: 2.0–6.1] months; n = 143) than females with genital strangulation (9.0 [6.8–11] years; n = 36), males with genital strangulation (5.1 [1.9–8.0] years; n = 36), and subjects with non-digital and non-genital strangulation (24 [13–48] months; n = 11). Digital strangulation was followed by an amputation in five (3.5%) and a reconstructive surgical intervention in seven (4.9%) cases. Sequelae occurred in four (11%) cases after female genital strangulation: clitoris autoamputation (n = 2) and surgical removal of a necrotic labium minus (n = 2). Severe complications were observed in 14 (39%) cases with male genital strangulation: urethral fistula (n = 7), urethral transection (n = 2), and partial penile autoamputation (n = 5). A partial uvular autoamputation was observed in one case (9.0%) with non-digital and non-genital strangulation. CONCLUSIONS: Early recognition and management are crucial to avoid sequelae or long-term care in hair-thread strangulation syndrome.

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Digital strangulation in a child: Tourniquet syndrome

Cited by 2 publications

References 4 publications

The Hand-Powered Ring Cutter: A Useful Tool in Your Wilderness Medical Bag

The Hand-Powered Ring Cutter: A Useful Tool in Your Wilderness Medical Bag

Hair-thread strangulation syndrome in childhood: a systematic review

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