Limb tourniquet syndrome - A cautionary tale

Tourniquet syndromes were first recognised in 1612 by Guillimeau. The tourniquet syndrome describes severe strangulations of tissues by hair, cotton or similar materials and are surgical emergencies. Tourniquet syndromes can be congenital or acquired. Congenital constriction bands secondary to amniotic bands are well known in the medical literature. Acquired constriction bands over fingers, toes and genitalia are well documented. A case of ‘‘acquired constriction ring’’ or ‘‘limb tourniquet’’ syndrome is presented to increase awareness of the condition in the geriatric population with memory problems and self-neglect. We have tried to highlight the regional–— skin, musculoskeletal, vascular and neurological changes that can lead to irreversible damage to the areas involved.