Department of Orthopedics "A", Galilee Medical Center, Nahariya, Israel.
The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Pediatr Dermatol. 2023 Jan;40(1):125-128. doi: 10.1111/pde.15151. Epub 2022 Sep 30.
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.
Medical records of all infants up to 1 year old seen in the orthopedic emergency department of Galilee Medical Center were searched for the diagnosis of HTS or its ICD equivalent.
Forty-one 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 months and the male-to-female 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.
HTS in our population is a phenomenon that seems to occur mostly in winter. Infants between 3 and 5 months are at greater risk. Toes are more affected than fingers. The most involved toes are the 3rd and 4th.
发辫止血带综合征（HTS）是一种儿科疾病，其中人类毛发或合成纤维环绕并勒紧身体的附属物，导致组织坏死。很少有流行病学研究。我们的目的是更好地定义这种情况的人口统计学、临床特征和易患因素。
搜索加利利医疗中心骨科急诊室所有 1 岁以下婴儿的医疗记录，以寻找 HTS 或其 ICD 等效物的诊断。
共回顾了 41 例发辫止血带综合征（HTS）病例。大多数病例（68%）发生在冬季（12 月至 2 月）。6 月至 8 月（夏季）无报告。中位数年龄为 4 个月，男女比例约为 2:5。脚趾的受累明显多于手指（97.5%），第 3 脚趾是最常受累的（58%）。9 例（21.9%）有超过 1 个脚趾受累，只有 1 例报告手指受累。
我们人群中的 HTS 似乎主要发生在冬季。3 至 5 个月大的婴儿风险更高。脚趾比手指更易受累。最受累的脚趾是第 3 和第 4 脚趾。
