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Devastating ischemic dimelic neuropathy after plastic zip tie handcuffs; message for security agencies.
Ahmad Wali1, Taimoor Hussain1,2
1Bolan Medical College Quetta, Pakistan.
Annals of Medicine and Surgery (2012)
|June 23, 2022
Summary
Plastic zip ties can cause a rare condition called Ischemic Dimelic Neuropathy (IDN), affecting both arms. This condition results from restricted blood flow and requires prompt medical attention.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Ischemic monomelic neuropathy (IMN) is a rare condition caused by reduced blood flow to a limb.
- It typically affects one limb and can result from various causes like trauma or vascular procedures.
Observation:
- This report details the first documented case of bilateral upper limb neuropathy due to plastic zip tie use.
- The condition, termed Ischemic Dimelic Neuropathy (IDN), involved acute axonal loss in both arms.
Findings:
- Plastic zip ties, when used as handcuffs, can lead to acute, simultaneous, and bilateral ischemic neuropathies.
- This represents a novel cause of limb ischemia and neuropathy.
Implications:
- Highlights the potential for plastic zip ties to cause severe neurological damage.
- Urges medical professionals and law enforcement to recognize and prevent Ischemic Dimelic Neuropathy (IDN).
- Recommends against the use of plastic zip ties for restraining individuals.

