Introduction: Hair tourniquet syndrome is rare presentations that are not often encountered in orthopedic OPD's. The syndrome was recognized long back but there have only been a few published reports in regard to the sequel it follows. The usual case presentation was an infant that had been crying in an inconsolable manner and upon careful examination was found to have a digit or a body part entangled by a hair or a textile thread causing a tourniquet like effect but our case was unique as it was an incidental finding. Case Report: This case reports a 5 months old healthy female child that was accidentally found to have a hair wrapped around her left fourth toe on her regular routine vaccination visit. Conclusion: This presentation is quite different than the presentation usually encountered or those presented previously in literature. The diagnosis of the syndrome requires a high index of suspicion, it may present a diagnostic dilemma therefore through awareness of the condition is important.
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