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Case Reports in Medicine
Volume 2012, Article ID 171368, 4 pages
Case Report

Hair-Thread Tourniquet Syndrome: A Case Report and Literature Review

1University College London Hospitals, London NW1 2BU, UK
2LPMA (London Private Medical Associates), 130 Church Road, London SE19 2NT, UK
3Watford General Hospital, Watford, Herfordshire WD18 9HB, UK

Received 16 May 2012; Accepted 24 September 2012

Academic Editor: John Kortbeek

Copyright © 2012 Niroshan Sivathasan and Lavnya Vijayarajan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Though widely reported, Hair-thread Tourniquet Syndrome (HTTS) is poorly recognized. It refers to external, mechanical, circumferential constriction of an appendage, typically with an end-artery such as a digit, resulting in a “compartment syndrome-like” situation. HTTS is illustrated using the case of an infant. Children presenting with irritability should have their digits examined for signs of strangulation, with the awareness that numerous strands may be involved, with some buried in the skin. Early surgical-release must be performed if unwinding or simple cutting is unsuccessful.