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Related Experiment Videos

The upper extremity and psychiatric illness.

D S Louis, M K Lamp, T L Greene

    The Journal of Hand Surgery
    |September 1, 1985
    PubMed
    Summary
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    Conversion reactions affecting the upper extremities are often linked to work-related injuries and compensation claims. These conditions are frequently chronic, with limited treatment success and a contraindication for patient confrontation.

    Area of Science:

    • Neurology
    • Psychiatry
    • Occupational Medicine

    Background:

    • Conversion reactions involving the upper extremities present unique diagnostic and therapeutic challenges.
    • Recognizing specific patterns like factitious lymphedema and clenched fists is crucial for diagnosis.

    Purpose of the Study:

    • To analyze the characteristics, presentation, and long-term outcomes of conversion reactions affecting the upper extremities.
    • To investigate the relationship between work-related injuries, compensation, and the course of these conditions.

    Main Methods:

    • Retrospective case series analysis of 33 patients over a 13-year period.
    • Documentation of clinical signs, symptoms, patient insight, injury context, and treatment responses.

    Main Results:

    Related Experiment Videos

    • Common presentations included factitious lymphedema, ulcers, and dysfunctional hand/upper extremity postures.
    • A significant majority (29/33) had work-related, compensable injuries; symptoms resolved in 4 patients upon compensation withdrawal.
    • The condition proved chronic and resistant to treatment, including psychotherapy, with confrontation being contraindicated.

    Conclusions:

    • Conversion reactions of the upper extremity are often chronic, with a strong association with compensable injuries.
    • Limited treatment efficacy highlights the need for careful management strategies, avoiding confrontation.
    • Further research into effective therapeutic approaches for this patient population is warranted.