Yunus Oklu1, Kadir Ertem2, Okan Aslantürk2

1Department of Orthopedics and Traumatology, Van Health Sciences University, Educational Research Hospital, Van, Türkiye
2Department of Orthopedics and Traumatology, Inönü University Faculty of Medicine, Malatya, Türkiye

Keywords: Digital ischemia, healing, necrosis, rubber band, surgical treatment, tourniquet syndrome


Ischemia of an appendage caused by dressing, tourniquet or hair is a rare, but devastating clinical entity. A six-year-old girl presented to the emergency department with necrosis of her right thumb caused by compressive dressing for four days. The patient was treated with an immediate surgical decompression and the thumb was saved. The patient had a full range of the thumb at 10 months of follow-up. In conclusion, instead of waiting for full demarcation, timely surgical interventions may protect the fingers from being amputated.

Citation: Oklu Y, Ertem K, Aslantürk O. The tourniquet syndrome of the thumb due to dressing with a rubber band in a pediatric patient. Jt Dis Relat Surg 2023;34(3):741-744. doi: 10.52312/ jdrs.2023.1286.

Author Contributions

Idea, supervision, critical review: O.A., K.E.; Design, data collection, literature review, writng the article: O.A., Y.O.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.