The clenched fist syndrome
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Updated: Aug 15, 2026

Virtual Hand with Ambiguous Movement between the Self and Other Origin: Sense of Ownership and 'Other-Produced' Agency
Published on: October 28, 2020
Abstract:
The clenched fist syndrome is an entity in which the patient keeps one or both hands tightly clenched. It is seen in all groups; hand dominance or compensation is not a factor. It usually follows a minor inciting incident and is associated with swelling, pain, and paradoxical stiffness. No organic disease can be found and extension of the fingers is always possible under anesthesia. Psychiatrically the patient is classified as having severe anger and poor defense. The prognosis is poor.
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