{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T22:03:54Z","timestamp":1780697034272,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Hair thread tourniquet syndrome (HTS) is a pediatric condition in which human hair or synthetic fiber encircles and strangulates a body appendage causing tissue necrosis. Few epidemiologic studies have been done. Our objective was to better define the demographics, clinical features, and predisposing factors for this condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Medical records of all infants up to 1\u2009year old seen in the orthopedic emergency department of Galilee Medical Center were searched for the diagnosis of HTS or its ICD equivalent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one cases of hair tourniquet syndrome (HTS) were reviewed. Most cases (68%) occurred during the winter months (December to February). There were no reports between June to August (summer). The median age was 4\u00a0months and the male\u2010to\u2010female ratio was approximately 2:5. Toes were significantly more involved than fingers (97.5%) and the 3rd toe was the most affected (58%). Nine patients (21.9%) had more than one toe affected and only one case reported finger involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>HTS in our population is a phenomenon that seems to occur mostly in winter. Infants between 3 and 5\u00a0months are at greater risk. Toes are more affected than fingers. The most involved toes are the 3rd and 4th.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.15151","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T12:55:38Z","timestamp":1664542538000},"page":"125-128","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hair tourniquet syndrome: A retrospective study"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8707-0463","authenticated-orcid":false,"given":"Noa","family":"Martonovich","sequence":"first","affiliation":[{"name":"Department of Orthopedics \"A\" Galilee Medical Center  Nahariya Israel"},{"name":"The Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maher","family":"Khatib","sequence":"additional","affiliation":[{"name":"Department of Orthopedics \"A\" Galilee Medical Center  Nahariya Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Assaf","sequence":"additional","affiliation":[{"name":"Department of Orthopedics \"A\" Galilee Medical Center  Nahariya Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2012.03.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.11138\/gchir\/2015.36.5.219"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000222571.98387.71"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010003\u20101034\u20101"},{"issue":"11","key":"e_1_2_9_6_1","first-page":"721","article-title":"Hair tourniquet syndrome \u2010 a discrepancy between incidence and documentation and a discrepancy between common terminology and the ICD","volume":"160","author":"Martonovich N","year":"2021","journal-title":"Harefuah"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.26326\/2281\u20109649.32.2.2351"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000348"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181b7ff14"},{"issue":"6","key":"e_1_2_9_10_1","first-page":"925","article-title":"Hair\u2010thread tourniquet syndrome","volume":"82","author":"Barton DJ","year":"1988","journal-title":"Pediatrics"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2009.03.003"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.11.041"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.89B2.17626"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/171368"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.3.685"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.1960.54"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2019.04.010"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15151","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pde.15151","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:26:23Z","timestamp":1692548783000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.15151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,30]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/pde.15151"],"URL":"https:\/\/doi.org\/10.1111\/pde.15151","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,30]]},"assertion":[{"value":"2022-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}