II. Definition

  1. Hair, thread or fiber wrapped tightly around appendage (i.e. finger, toe, penis)

III. Pathophysiology

  1. Pain results from cutting into skin or constricting flow

IV. Epidemiology

  1. Typically limited to infants

V. Symptoms

VI. Signs

  1. Proximal ligature (hair, thread, fiber)
  2. Erythematous, swollen distal digit or penis

VII. Management

  1. Cutting ligature
    1. Attempt to lift ligature off skin with forceps without teeth (or Mosquito clamp)
    2. Cut ligature with iris scissors
  2. Depilatory agent (e.g. Nair)
    1. Apply to Hair Tourniquet
    2. Works slowly and only with hair (not effective for synthetic fibers or threads)

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