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Related Experiment Videos

Dhaga syndrome: a previously undescribed entity.

A Arora1, A Agarwal

  • 1Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India.

The Journal of Bone and Joint Surgery. British Volume
|March 30, 2004
PubMed
Summary
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Forgotten sacred threads (Moli Dhaga) caused wrist sinus infections in three young children. Surgical removal of the embedded threads successfully treated the condition, highlighting a rare cause of pediatric wrist issues.

Area of Science:

  • Pediatric surgery
  • Orthopedics
  • Medical case reports

Background:

  • Foreign body retention is a common cause of pediatric injury.
  • The Moli Dhaga, a sacred thread, is sometimes tied around children's wrists in certain cultural practices.
  • Forgotten threads can become embedded, leading to complications.

Observation:

  • Three children aged 18 months to 4 years presented with discharging wrist sinuses.
  • The sinuses were caused by forgotten Moli Dhaga threads embedded in the soft tissues.
  • Radiographs revealed circumferential soft tissue constriction and, in two cases, a periosteal reaction with indentation (constriction sign).

Findings:

  • The Moli Dhaga thread, when forgotten and embedded, can cause chronic sinus tracts in pediatric wrists.

Related Experiment Videos

  • Radiographic findings include soft tissue constriction and a characteristic 'constriction sign' indicative of the embedded foreign body.
  • Surgical intervention for the removal of the embedded thread was curative in all reported cases.

    • Implications:

    • This case series highlights an unusual cause of pediatric wrist infections and sinus formation.
    • Early recognition and surgical management are crucial for favorable outcomes.
    • The 'constriction sign' on radiographs may aid in diagnosing embedded foreign bodies in pediatric extremities.