Median Neuropathy After Blood Draw Mimics Painful Clenched Fist Syndrome in a Child.

ABSTRACT: Background: Clenched fist syndrome is a rare disorder, often attributed to a conversion disorder without anatomic basis. Here, we review the literature surrounding clenched fist syndrome and challenge the assumption it is always psychiatric in origin, via description of a case of clenched fist syndrome responsive to surgical nerve decompression. Methods: An unusual case of clenched fist syndrome is reviewed and discussed. Results: A child presenting with clenched fist syndrome failed conservative measures consisting of formal hand therapy, multidisciplinary pain management, and psychiatric treatment. On clinical examination, she had findings consistent with median nerve entrapment. After undergoing surgical decompression of the median nerve in the forearm and carpal tu

SUBMITTER: Hill EJR 

PROVIDER: S-EPMC7076620 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature