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Related Experiment Videos

The psycho-flexed hand.

G K Frykman, V E Wood, E B Miller

    Clinical Orthopaedics and Related Research
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This study identifies "psycho-flexed hand," a condition in mentally disturbed patients with finger flexion contractures. Surgical correction is cautioned against until underlying psychiatric conditions are addressed.

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    Area of Science:

    • Psychiatry
    • Hand Surgery
    • Medical Psychology

    Background:

    • Flexion contractures of the fingers can arise from various causes, including neurological and rheumatological conditions.
    • The etiology of flexion contractures in patients with psychiatric disorders is often unclear.
    • Identifying unique patient populations with specific physical manifestations is crucial for targeted treatment.

    Observation:

    • Five patients with mental disturbances presented with flexion contractures affecting the middle, ring, and little fingers.
    • All patients had a history of psychiatric illness, primarily depression.
    • No organic cause for the contractures was identified in these individuals.

    Findings:

    • The authors termed this specific presentation "psycho-flexed hand."

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  • Four patients were middle-aged women with long-term depression, hypochondriasis, or schizophrenia.
  • Contractures led to palm maceration, and interventions like manipulation under anesthesia and splinting provided only temporary relief.
  • Surgical and therapeutic interventions resulted in multiple complications.

    • Implications:

    • The findings suggest a potential link between specific psychiatric conditions and the development of flexion contractures.
    • Caution is advised regarding surgical interventions for psycho-flexed hand before addressing the underlying mental health issues.
    • Further research is needed to understand the pathophysiology and optimal management strategies for this condition.