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Clenched fist syndrome: a case report
Trygve Nissen1,2, Rolf Wynn3,4
1Division of Mental Health and Addictions, University Hospital of North Norway, N-9291, Tromsø, Norway.
Journal of Medical Case Reports
|June 19, 2018
Summary
Psychogenic clenched fist syndrome, a rare condition, was observed in a patient with multiple comorbidities following hip surgery. Psychological factors were central to the development of this unusual symptom.
Area of Science:
- Psychiatry
- Neurology
- Hand Surgery
Background:
- Clenched fist syndrome, also known as psycho-flexed hand, was first described in the early 1980s.
- The syndrome is not widely recognized in major psychiatric literature, with most existing research appearing in hand surgery journals.
- There is a need for a psychiatric examination and understanding of this condition.
Observation:
- A case of acute bilateral clenched fists in a 60-year-old male patient with schizophrenia, cerebrovascular disease, diabetes mellitus type 2, and peripheral neuropathy is presented.
- The patient developed symptoms after surgery for a dislocated hip fracture.
- The patient later died from surgical complications.
Findings:
- Psychological processes are considered the primary cause of the patient's clenched fists, despite clinical uncertainty.
- The case highlights the obscure nosological status of psychogenic hand disorders.
- This presentation aims to advance the psychiatric understanding of clenched fist syndrome.
Implications:
- This case contributes to the limited psychiatric literature on psychogenic hand disorders.
- Further research is needed to clarify the diagnostic criteria and treatment for clenched fist syndrome.
- Integrating psychiatric and surgical perspectives is crucial for understanding complex psychosomatic conditions.
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