Frykman G K, Wood V E, Miller E B
Clin Orthop Relat Res. 1983 Apr(174):153-7.
Five mentally disturbed patients had flexion contractures of the middle, ring, and little fingers of one or both hands. All gave a history of psychiatric illness manifested by depression. Since no organic etiology for the contractures was found, the authors name this condition the "psycho-flexed hand." Four of the five patients were middle-aged women who suffered long-term depression, hypochondriasis, and/or schizophrenia. The patients' severely contracted fingers often macerated the palm. Manipulation under anesthesia and splinting only temporarily relieved the contractures. Multiple complications occurred following splinting and hand therapy, as well as surgery. Therefore, caution is urged when attempting surgical correction before resolving the mental illness.
五名精神障碍患者双手的中指、无名指和小指出现屈曲挛缩。所有人都有以抑郁为表现的精神疾病史。由于未发现挛缩的器质性病因，作者将这种情况命名为“精神性屈曲手”。五名患者中有四名是中年女性，她们患有长期抑郁症、疑病症和/或精神分裂症。患者严重挛缩的手指经常使手掌浸渍。麻醉下手法操作和夹板固定只能暂时缓解挛缩。夹板固定、手部治疗以及手术后出现了多种并发症。因此，在解决精神疾病之前尝试手术矫正时需谨慎。
