• 1

    Alpert JJ, Filler R, Glaser HH: Strangulation of an appendage by hair wrapping. .N Engl J Med 273::866. ,1965. .

  • 2

    Serour F, Gorenstein A: Treatment of the toe tourniquet syndrome in infants. .Pediatr Surg Int 19::598. ,2003. .

  • 3

    Smith AM, Peckett W, Davies M: Acquired constriction ring syndrome. .Foot Ankle Int 24::640. ,2003. .

  • 4

    Papendieck CM: Hair tourniquet syndrome: an unusual cause of perinatologic secondary lymphedema. .Lymphology 32::171. ,1999. .

  • 5

    Strahlman RS: Toe tourniquet syndrome in association with maternal hair loss. .Pediatrics 111::685. ,2003. .

  • 6

    Harris EJ: Acute digital ischemia in infants: the hair-thread tourniquet syndrome: a report of two cases. .J Foot Ankle Surg 41::112. ,2002. .

  • 7

    Collins AG: Hair-thread tourniquet syndrome [letter]. .Aust J Derm 31::117. ,1990. .

  • 8

    Barton DJ, Sloan GM, Nichter LS, et al: Hair-thread tourniquet syndrome. .Pediatrics 82::925. ,1988. .

  • 9

    Sudhan ST, Gupta S, Plutarco C: Toe-tourniquet syndrome: accidental or intentional?. Eur J Pediatr 159::866. ,2000. .

  • 10

    Mack JW, Takamoto RM, Jones FR, et al: Toe tourniquet syndrome. .West J Med 125::335. ,1976. .

  • 11

    Rich MA, Keating MA: Hair tourniquet syndrome of the clitoris. .J Urol 162::190. ,1999. .

  • 12

    Kuo JH, Smith LM, Berkowitz CD: A hair tourniquet resulting in strangulation and amputation of the clitoris. .Obstet Gynecol 99::939. ,2002. .

  • 13

    Sylwestrzak MS, Fischer BF, Fischer H, et al: Recurrent clitoral tourniquet syndrome. .Pediatrics 105::866. ,2000. .

  • 14

    Pester RD, Ballew KK, Harkless LB: The tourniquet syndrome: a case report. .JAPMA 76::354. ,1986. .

  • 15

    Diamond MJ, Sachs BE: The toe tourniquet syndrome: a case report. .JAPA 68::766. ,1978. .

  • 16

    Hack M, Brish M: A “finger equivalent” of the “toe tourniquet syndrome.”. Pediatrics 50::348. ,1972. .

  • 17

    Quinn NJ Jr: Toe tourniquet syndrome. .Pediatrics 48::145. ,1971. .

  • 18

    Klusmann A, Lenard HG: Tourniquet syndrome: accident or abuse?. Eur J Pediatr 163::495. ,2004. .

  • 19

    Gomez VR: Clubfeet in congenital annular constricting bands. .Clin Orthop Relat Res 323::155. ,1996. .

  • 20

    Harrison IM, Brosnahan D, Phelan E, et al: Septo-optic dysplasia with digital anomalies: a recurrent pattern syndrome. .Am J Med Genet A 131::82. ,2004. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Daccarett M, Espinosa G, Rahimi F, et al: Ainhum (dactylolysis spontanea): a radiological survey of 6,000 patients. .J Foot Ankle Surg 41::372. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Acquired Constriction Ring Syndrome

Jonathan C. O’Quinn Cape Fear Podiatry Associates, Fayetteville, NC.

Search for other papers by Jonathan C. O’Quinn in
Current site
Google Scholar
Roger L. Friedman Private practice, Elyria, OH.

Search for other papers by Roger L. Friedman in
Current site
Google Scholar
, and
Kimberly L. Wilms California School of Podiatric Medicine at Samuel Merritt College, Oakland.

Search for other papers by Kimberly L. Wilms in
Current site
Google Scholar

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): 253–255, 2006)

Corresponding author: Jonathan C. O’Quinn, DPM, MS, Cape Fear Podiatry Associates, 1738 Metromedical Dr, Fayetteville, NC 28304.