THE HAIR-THREAD-TOURNIQUET SYNDROME — REPORT OF AN UNUSUAL PRESENTATION OF THIS RARE CONDITION

Abstract

The Hair-Thread-Tourniquet syndrome is a rare disorder with merely 17 cases of finger involvement reported so far. This is a report of one such case of accidental digital constriction, which presented as late as three months after injury. This is the longest reported duration between injury and detection. The constriction band was in the form of an eschar lying in an epithelialised crease. Treatment involved excision of the crease followed by multiple z-plasties to close the resulting defect. This is the first case in English literature to report epithelialisation of the crease and consequently the first case to require excision of the band followed by z-plasty.