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Published on: September 20, 2018

Acquired constriction ring syndrome as a cause of inconsolable cry in a child: a case report

Vinay Singh1, Pankaj Singh, Amit Sharma

  • 1Registrar Trauma & Orthopaedics Surgery, Luton and Dunstable Hospital NHS, Foundation Trust, Lewsey Road, Luton, LU4 0DZ, UK. we.publish@googlemail.com.

Cases Journal
|August 16, 2008
PubMed

Insights

Acute constriction ring syndrome (ACRS) is a rare condition where a hair causes a toe to constrict. Early surgical intervention is crucial for infants to prevent permanent damage and potential auto-amputation.

Area of Science:

  • Pediatric Surgery
  • Clinical Case Reports

Background:

  • Acute constriction ring syndrome (ACRS) is a rare condition involving circumferential rings that can lead to ischemia and auto-amputation.
  • It predominantly affects infants and young children, necessitating prompt diagnosis and treatment.

Purpose of the Study:

  • To report a case of acquired ACRS in a pediatric patient.
  • To highlight the importance of early recognition and surgical intervention for ACRS.
  • To discuss the pathophysiology and potential medico-legal implications of ACRS.

Main Methods:

  • Case presentation of a 14-month-old child with ACRS of the left third toe.
  • Clinical examination revealing a hair tourniquet as the cause.
  • Urgent surgical decompression performed by the orthopedic team.

Main Results:

  • Complete resolution of symptoms following surgical decompression.
  • Successful treatment of the acquired constriction ring.
  • Demonstration of hair as a common and preventable cause in infants.

Conclusions:

  • Awareness of ACRS and its causes, such as hair tourniquets, is vital for treating physicians.
  • Prompt surgical intervention is critical to prevent irreversible ischemia and auto-amputation.
  • Consideration of non-accidental injury may be relevant in some ACRS cases.

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