The clenched fist syndrome

The clenched fist syndrome is an entity in which the patient keeps one or both hands tightly clenched. It is seen in all age 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 defenses. The prognosis is poor.