{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:17:20Z","timestamp":1783430240368,"version":"3.54.6"},"reference-count":21,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPMA"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:p>Acquired constriction ring syndrome is a clinical condition of infancy characterized by circumferential constriction of a toe or another appendage, such as fingers and genitalia. The foot and ankle specialist should be aware of this condition because vascular obstruction of the affected appendage can rapidly lead to gangrene and autoamputation. Treatment consists of prompt identification and removal of the constricting foreign material. Although this condition is uncommon, it can lead to digital loss. Early treatment yields a good prognosis. A case report is presented of a 9-week-old infant who experienced acquired constriction ring syndrome caused by a strand of hair wrapped around the third and fourth toes that was treated by unwinding the hair under loupe magnification. (J Am Podiatr Med Assoc 96(3): 253\u2013255, 2006)<\/jats:p>","DOI":"10.7547\/0960253","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T10:19:11Z","timestamp":1396347551000},"page":"253-255","source":"Crossref","is-referenced-by-count":7,"title":["Acquired Constriction Ring Syndrome"],"prefix":"10.3390","volume":"96","author":[{"given":"Jonathan C.","family":"O\u2019Quinn","sequence":"first","affiliation":[{"name":"Cape Fear Podiatry Associates, Fayetteville, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger L.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Private practice, Elyria, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly L.","family":"Wilms","sequence":"additional","affiliation":[{"name":"California School of Podiatric Medicine at Samuel Merritt College, Oakland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"R1","series-title":"N Engl J Med","first-page":"866","volume":"273","year":"1965","unstructured":"Alpert JJ, Filler R, Glaser HH: Strangulation of an appendage by hair wrapping. .N Engl J Med273::866. ,1965. .5825906"},{"key":"R2","series-title":"Pediatr Surg Int","first-page":"598","volume":"19","year":"2003","unstructured":"Serour F, Gorenstein A: Treatment of the toe tourniquet syndrome in infants. .Pediatr Surg Int19::598. ,2003. .14551712"},{"key":"R3","series-title":"Foot Ankle Int","first-page":"640","volume":"24","year":"2003","unstructured":"Smith AM, Peckett W, Davies M: Acquired constriction ring syndrome. .Foot Ankle Int24::640. ,2003. .12956571"},{"key":"R4","series-title":"Lymphology","first-page":"171","volume":"32","year":"1999","unstructured":"Papendieck CM: Hair tourniquet syndrome: an unusual cause of perinatologic secondary lymphedema. .Lymphology32::171. ,1999. .10652701"},{"key":"R5","series-title":"Pediatrics","first-page":"685","volume":"111","year":"2003","unstructured":"Strahlman RS: Toe tourniquet syndrome in association with maternal hair loss. .Pediatrics111::685. ,2003. .12612260"},{"key":"R6","series-title":"J Foot Ankle Surg","first-page":"112","volume":"41","year":"2002","unstructured":"Harris EJ: Acute digital ischemia in infants: the hair-thread tourniquet syndrome: a report of two cases. .J Foot Ankle Surg41::112. ,2002. .11995831"},{"key":"R7","series-title":"Aust J Derm","first-page":"117","volume":"31","year":"1990","unstructured":"Collins AG: Hair-thread tourniquet syndrome [letter]. .Aust J Derm31::117. ,1990. ."},{"key":"R8","series-title":"Pediatrics","first-page":"925","volume":"82","year":"1988","unstructured":"Barton DJ, Sloan GM, Nichter LS, et al: Hair-thread tourniquet syndrome. .Pediatrics82::925. ,1988. .3186385"},{"key":"R9","series-title":"Eur J Pediatr","first-page":"866","volume":"159","year":"2000","unstructured":"Sudhan ST, Gupta S, Plutarco C: Toe-tourniquet syndrome: accidental or intentional?. Eur J Pediatr159::866. ,2000. .11079205"},{"key":"R10","series-title":"West J Med","first-page":"335","volume":"125","year":"1976","unstructured":"Mack JW, Takamoto RM, Jones FR, et al: Toe tourniquet syndrome. .West J Med125::335. ,1976. .1032236"},{"key":"R11","series-title":"J Urol","first-page":"190","volume":"162","year":"1999","unstructured":"Rich MA, Keating MA: Hair tourniquet syndrome of the clitoris. .J Urol162::190. ,1999. .10379786"},{"key":"R12","series-title":"Obstet Gynecol","first-page":"939","volume":"99","year":"2002","unstructured":"Kuo JH, Smith LM, Berkowitz CD: A hair tourniquet resulting in strangulation and amputation of the clitoris. .Obstet Gynecol99::939. ,2002. .11975967"},{"key":"R13","series-title":"Pediatrics","first-page":"866","volume":"105","year":"2000","unstructured":"Sylwestrzak MS, Fischer BF, Fischer H, et al: Recurrent clitoral tourniquet syndrome. .Pediatrics105::866. ,2000. .10742338"},{"key":"R14","series-title":"JAPMA","first-page":"354","volume":"76","year":"1986","unstructured":"Pester RD, Ballew KK, Harkless LB: The tourniquet syndrome: a case report. .JAPMA76::354. ,1986. ."},{"key":"R15","series-title":"JAPA","first-page":"766","volume":"68","year":"1978","unstructured":"Diamond MJ, Sachs BE: The toe tourniquet syndrome: a case report. .JAPA68::766. ,1978. ."},{"key":"R16","series-title":"Pediatrics","first-page":"348","volume":"50","year":"1972","unstructured":"Hack M, Brish M: A \u201cfinger equivalent\u201d of the \u201ctoe tourniquet syndrome.\u201d. Pediatrics50::348. ,1972. .5045375"},{"key":"R17","series-title":"Pediatrics","first-page":"145","volume":"48","year":"1971","unstructured":"Quinn NJ Jr: Toe tourniquet syndrome. .Pediatrics48::145. ,1971. .5561867"},{"key":"R18","series-title":"Eur J Pediatr","first-page":"495","volume":"163","year":"2004","unstructured":"Klusmann A, Lenard HG: Tourniquet syndrome: accident or abuse?. Eur J Pediatr163::495. ,2004. .15179509"},{"key":"R19","series-title":"Clin Orthop Relat Res","first-page":"155","volume":"323","year":"1996","unstructured":"Gomez VR: Clubfeet in congenital annular constricting bands. .Clin Orthop Relat Res323::155. ,1996. ."},{"key":"R20","series-title":"Am J Med Genet A","first-page":"82","volume":"131","year":"2004","unstructured":"Harrison IM, Brosnahan D, Phelan E, et al: Septo-optic dysplasia with digital anomalies: a recurrent pattern syndrome. .Am J Med Genet A131::82. ,2004. .15368481"},{"key":"R21","series-title":"J Foot Ankle Surg","first-page":"372","volume":"41","year":"2002","unstructured":"Daccarett M, Espinosa G, Rahimi F, et al: Ainhum (dactylolysis spontanea): a radiological survey of 6,000 patients. .J Foot Ankle Surg41::372. ,2002. .12500788"}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/96\/3\/0960253.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/japma\/article-pdf\/96\/3\/253\/1418448\/0960253.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/96\/3\/0960253.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/96\/3\/0960253.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:46:21Z","timestamp":1783428381000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/96\/3\/253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,5]]},"references-count":21,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.7547\/0960253","relation":{},"ISSN":["8750-7315","1930-8264"],"issn-type":[{"value":"8750-7315","type":"print"},{"value":"1930-8264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,5]]}}}