{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T13:05:17Z","timestamp":1780059917886,"version":"3.54.0"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Hair-thread tourniquet syndrome is a rare, painful condition that occurs when a strand of hair or thread becomes wrapped around toes, fingers, or other appendages. This causes focal edema, which eventually reduces arterial blood flow and can lead to ischemia and necrosis. A thorough physical examination and assessment of risk factors are important. Treatment involves depilatory agents or targeted incision at the bedside or in the operating room. Successfully treated cases can be discharged with local wound care. Parents should be advised on prevention strategies and ensure close follow-up for reexamination.<\/jats:p>","DOI":"10.1097\/pec.0000000000001827","type":"journal-article","created":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:05:24Z","timestamp":1556669124000},"page":"377-379","source":"Crossref","is-referenced-by-count":15,"title":["Current Approach to the Evaluation and Management of Hair-Thread Tourniquets"],"prefix":"10.1097","volume":"35","author":[{"given":"Michael","family":"Gottlieb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dallas","family":"Holladay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Spearman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230930","first-page":"136","article-title":"Ligature of the penis","volume":"2","year":"1832","journal-title":"Lancet"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1542\/peds.66.5.781","article-title":"Clitoris tourniquet syndrome","volume":"66","year":"1980","journal-title":"Pediatrics"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1177\/000992288702601111","article-title":"Strangulation of the uvula by hair wrapping","volume":"26","year":"1987","journal-title":"Clin Pediatr (Phila)"},{"key":"bib4-20230930","first-page":"925","article-title":"Hair-thread tourniquet syndrome","volume":"82","year":"1988","journal-title":"Pediatrics"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/00005392-199907000-00067","article-title":"Hair tourniquet syndrome of the clitoris","volume":"162","year":"1999","journal-title":"J Urol"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0736-4679(02)00760-6","article-title":"Hair tourniquet of the uvula","volume":"24","year":"2003","journal-title":"J Emerg Med"},{"key":"bib7-20230930","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","year":"2003","journal-title":"Pediatr Surg Int"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1177\/000992280504400413","article-title":"Near strangulation as a result of hair tourniquet syndrome","volume":"44","year":"2005","journal-title":"Clin Pediatr (Phila)"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/j.1440-1754.2005.00569.x","article-title":"Hair-thread tourniquet syndrome","volume":"41","year":"2005","journal-title":"J Paediatr Child Health"},{"key":"bib10-20230930","doi-asserted-by":"crossref","first-page":"W6","DOI":"10.1308\/147870806X95276","article-title":"Toe-tourniquet syndrome: a diagnostic dilemma!","volume":"88","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"key":"bib11-20230930","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","year":"2006","journal-title":"Ann Plast Surg"},{"key":"bib12-20230930","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1097\/PEC.0b013e3180328cc4","article-title":"A genital hair tourniquet in a 9-year-old girl","volume":"23","year":"2007","journal-title":"Pediatr Emerg Care"},{"key":"bib13-20230930","doi-asserted-by":"crossref","first-page":"e111","DOI":"10.1016\/j.jpag.2008.07.011","article-title":"Hair-thread tourniquet syndrome of labia minor","volume":"22","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"bib14-20230930","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1016\/j.jpedsurg.2009.11.008","article-title":"Progressive hair coil penile tourniquet syndrome: multicenter experience with 25 cases","volume":"45","year":"2010","journal-title":"J Pediatr Surg"},{"key":"bib15-20230930","first-page":"675","article-title":"Crying infant with painful toes","volume":"61","year":"2012","journal-title":"J Fam Pract"},{"key":"bib16-20230930","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1016\/j.jpag.2011.11.001","article-title":"Untangling a web: an unusual case of labial necrosis in an adolescent female","volume":"25","year":"2012","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"bib17-20230930","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s00431-012-1883-5","article-title":"Hair tourniquet syndrome","volume":"172","year":"2013","journal-title":"Eur J Pediatr"},{"key":"bib18-20230930","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1097\/PEC.0b013e31829ec4c7","article-title":"Hair tourniquet of the circumvallate papillae: a potentially \u201chairy\u201d situation","volume":"29","year":"2013","journal-title":"Pediatr Emerg Care"},{"key":"bib19-20230930","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1097\/PEC.0b013e3182986184","article-title":"Labial hair tourniquet: unusual complication of an unrepaired genital laceration","volume":"29","year":"2013","journal-title":"Pediatr Emerg Care"},{"key":"bib20-20230930","doi-asserted-by":"crossref","first-page":"111","DOI":"10.2344\/0003-3006-61.3.111","article-title":"Hair tourniquet syndrome in the dental patient","volume":"61","year":"2014","journal-title":"Anesth Prog"},{"key":"bib21-20230930","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1016\/j.jpedsurg.2014.11.041","article-title":"A single center retrospective review of hair tourniquet syndrome and a proposed treatment algorithm","volume":"50","year":"2015","journal-title":"J Pediatr Surg"},{"key":"bib22-20230930","first-page":"219","article-title":"Hair tourniquet syndrome: revisited","volume":"36","year":"2015","journal-title":"G Chir"},{"key":"bib23-20230930","first-page":"22","article-title":"Hair tourniquet syndrome of labia minora","volume":"6","year":"2015","journal-title":"APSP J Case Rep"},{"key":"bib24-20230930","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.nwh.2016.06.005","article-title":"Assessment, treatment, and prevention strategies for hair-thread tourniquet syndrome in infants","volume":"20","year":"2016","journal-title":"Nurs Womens Health"},{"key":"bib25-20230930","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.jemermed.2012.03.004","article-title":"Hair toe tourniquet syndrome in a four-year-old boy","volume":"44","year":"2013","journal-title":"J Emerg Med"},{"key":"bib26-20230930","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","year":"2017","journal-title":"J Pediatr Orthop B"},{"key":"bib27-20230930","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","year":"2003","journal-title":"Pediatrics"},{"key":"bib28-20230930","first-page":"323","article-title":"Effect of pregnancy on the human hair cycle","volume":"35","year":"1960","journal-title":"J Invest Dermatol"},{"issue":"5 Pt 2","key":"bib29-20230930","first-page":"939","article-title":"A hair tourniquet resulting in strangulation and amputation of the clitoris","volume":"99","year":"2002","journal-title":"Obstet Gynecol"},{"key":"bib30-20230930","first-page":"592323","article-title":"Serious delayed hair toe tourniquet syndrome with bone erosion and flexor tendon lesion","volume":"2014","year":"2014","journal-title":"Case Rep Pediatr"},{"key":"bib31-20230930","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1056\/NEJM196510142731608","article-title":"Strangulation of an appendage by hair wrapping","volume":"273","year":"1965","journal-title":"N Engl J Med"},{"key":"bib32-20230930","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1097\/01.pec.0000238745.81358.75","article-title":"Bathing suit mesh entrapment: an unusual case of penile injury","volume":"22","year":"2006","journal-title":"Pediatr Emerg Care"},{"key":"bib33-20230930","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.eucr.2016.05.009","article-title":"Acute foreskin strangulation injury due to bathing suit mesh entrapment","volume":"13","year":"2017","journal-title":"Urol Case Rep"},{"key":"bib34-20230930","first-page":"612","article-title":"Penile strangulation caused by tourniquet injury\u2014an experience of seven cases","volume":"24","year":"2014","journal-title":"J Coll Physicians Surg Pak"},{"key":"bib35-20230930","first-page":"495","article-title":"Tourniquet syndrome\u2014accident or abuse?","volume":"163","year":"2004","journal-title":"Eur J Pediatr"},{"key":"bib36-20230930","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1177\/107110070302400812","article-title":"Acquired constriction ring syndrome","volume":"24","year":"2003","journal-title":"Foot Ankle Int"},{"key":"bib37-20230930","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/jdv.12393","article-title":"Don't miss this blue toe: hair tourniquet syndrome","volume":"29","year":"2015","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"bib38-20230930","doi-asserted-by":"crossref","first-page":"416","DOI":"10.4103\/0256-4947.67088","article-title":"Hair tourniquet syndrome","volume":"30","year":"2010","journal-title":"Ann Saudi Med"},{"key":"bib39-20230930","first-page":"244","article-title":"Hair tourniquet syndrome in an infant","volume":"89","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"bib40-20230930","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1542\/peds.48.1.145","article-title":"Toe tourniquet syndrome","volume":"48","year":"1971","journal-title":"Pediatrics"},{"key":"bib41-20230930","first-page":"335","article-title":"Toe tourniquet syndrome","volume":"125","year":"1976","journal-title":"West J Med"},{"key":"bib42-20230930","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/PEC.0b013e31820d65b7","article-title":"Hair tourniquet management","volume":"27","year":"2011","journal-title":"Pediatr Emerg Care"},{"key":"bib43-20230930","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.annemergmed.2014.08.026","article-title":"Effect of a depilatory agent on cotton, polyester, and rayon versus human hair in a laboratory setting","volume":"65","year":"2015","journal-title":"Ann Emerg Med"},{"key":"bib44-20230930","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1007\/PL00008357","article-title":"Toe-tourniquet syndrome\u2014accidental or intentional?","volume":"159","year":"2000","journal-title":"Eur J Pediatr"},{"key":"bib45-20230930","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1136\/emj.13.2.138","article-title":"Hair thread tourniquet syndrome","volume":"13","year":"1996","journal-title":"J Accid Emerg Med"},{"key":"bib46-20230930","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1142\/S0218810401000746","article-title":"The hair-thread-tourniquet syndrome\u2014report of an unusual presentation of this rare condition","volume":"6","year":"2001","journal-title":"Hand Surg"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201905000-00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:12:54Z","timestamp":1696061574000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201905000-00012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":46,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001827","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}