A case of “acquired constriction ring” or “toe-tourniquet” syndrome is presented to increase awareness of the condition in the orthopaedic community. If treated promptly, this condition has a very good prognosis and, if the diagnosis is missed, may lead to amputation. We also discuss the potential causes and presentation of this condition, along with the need for urgent surgical exploration if there are doubts over tissue viability.
BiehlerJLSieckCBonnerBSteumkyJH: A survey of health care and child protective services provider knowledge regarding the toe tourniquet syndrome. Child Abuse Negl.18(11):987–993, 1994.
4.
DiamondMJSachsBE: The toe tourniquet syndrome: a case report. J. Am Podiatr. Assoc.68(11):766, 1978.
5.
EzakiM: Amnion disruption sequence (constriction ring syndrome). In: Green's Operative Hand Surgery, 4th ed, New York, Churchill Livingstone, 1999.
6.
HackMBrishM: A “finger equivalent” of the “toe tourniquet syndrome.”. Pediatrics50(2):348–349, 1972.
7.
MackJWTakamotoRMJonesFRZickHR: Toe tourniquet syndrome. West. J. Med.125(4):335–336, 1976.
8.
MillerPRLeviJH: Hair strangulation. J. Bone Joint Surg.59-A:132, 1977.
9.
OatesRK: Overturning the diagnosis of child abuse. Arch. Dis. Child.59(7):665–666, 1984.
10.
QuinnNJ: Toe tourniquet syndrome. Pediatrics48(1):145–146, 1971.
11.
SudhanSTGuptaSPlutarcoC: Toe-tourniquet syndrome — accidental or intentional?Eur. J. Pediatr.159(11):866, 2000.
