{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:34:11Z","timestamp":1763465651358,"version":"3.45.0"},"reference-count":12,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nHair 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.\nMethods\nBetween 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.\nResults\nA 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.\nConclusion\nHair 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.\n\nLevel of evidence\nLevel IV, Therapeutic Study\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2019.04.010","type":"journal-article","created":{"date-parts":[[2019,5,16]],"date-time":"2019-05-16T09:06:29Z","timestamp":1557997589000},"page":"306-309","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Hair tourniquet syndrome of toes and fingers in infants"],"prefix":"10.5152","volume":"53","author":[{"given":"Okan","family":"ASLANT\u00dcRK","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafet","family":"\u00d6ZBEY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6zg\u00fcr","family":"YILMAZ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"ERGEN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"10.1016\/j.aott.2019.04.010_bib1","first-page":"495","article-title":"Tourniquet syndrome \u2013 accident or abuse?","volume":"163","author":"Klusmann","year":"2014","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.aott.2019.04.010_bib2","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/BPB.0000000000000348","article-title":"Can washing socks without flipping inside out cause hair tourniquet syndrome? A claim with two case reports","volume":"26","author":"Uygur","year":"2017","journal-title":"J\u00a0Pediatr Orthop B"},{"key":"10.1016\/j.aott.2019.04.010_bib3","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.chiabu.2009.03.003","article-title":"Tourniquet syndrome: interest of a systematic analysis of families' social conditions to detect neglect situations","volume":"33","author":"Claudet","year":"2009","journal-title":"Child Abuse Negl"},{"key":"10.1016\/j.aott.2019.04.010_bib4","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1001\/archpedi.155.4.515","article-title":"Picture of the month. Hair-thread tourniquet syndrome","volume":"155","author":"Wang","year":"2001","journal-title":"Arch Pediatr Adolesc Med"},{"key":"10.1016\/j.aott.2019.04.010_bib5","first-page":"592323","article-title":"Serious delayed hair toe tourniquet syndrome with bone erosion and flexor tendon lesion","volume":"2014","author":"Bizzotto","year":"2014","journal-title":"Case Rep Pediatr"},{"key":"10.1016\/j.aott.2019.04.010_bib6","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1016\/j.jpedsurg.2014.11.041","article-title":"A\u00a0single center retrospective review of hair tourniquet syndrome and a proposed treatment algorithm","volume":"50","author":"Bean","year":"2015","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.aott.2019.04.010_bib7","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.arcped.2010.02.012","article-title":"Hair-thread tourniquet syndrome","volume":"17","author":"Claudet","year":"2010","journal-title":"Arch Pediatr"},{"key":"10.1016\/j.aott.2019.04.010_bib8","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/01.sap.0000222571.98387.71","article-title":"Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and meta-analysis","volume":"57","author":"Mat Saad","year":"2006","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.aott.2019.04.010_bib9","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1046\/j.1525-1470.2002.00233.x","article-title":"What syndrome is this? Tourniquet syndrome","volume":"19","author":"Corazza","year":"2002","journal-title":"Pediatr Dermatol"},{"key":"10.1016\/j.aott.2019.04.010_bib10","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1542\/peds.111.3.685","article-title":"Toe tourniquet syndrome in association with maternal hair loss","volume":"111","author":"Strahlman","year":"2003","journal-title":"Pediatrics"},{"key":"10.1016\/j.aott.2019.04.010_bib11","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/PEC.0b013e31820d65b7","article-title":"Hair tourniquet management","volume":"27","author":"O'Gorman","year":"2011","journal-title":"Pediatr Emerg Care"},{"key":"10.1016\/j.aott.2019.04.010_bib12","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1007\/s00383-003-1034-1","article-title":"Treatment of the toe tourniquet syndrome in infants","volume":"19","author":"Serour","year":"2003","journal-title":"Pediatr Surg Int"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X18304875?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X18304875?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3479\/3425","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:30:31Z","timestamp":1763465431000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,1,4]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2019.04.010","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hair tourniquet syndrome of toes and fingers in infants","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2019.04.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}