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Journal articles on the topic 'Clenched fist injury'

Author: Grafiati

Published: 4 June 2025

Last updated: 1 August 2025

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1

Sternberg, Michael L., and Tracy Jacobs. "Clenched Fist Injury." Journal of Emergency Medicine 39, no. 1 (2010): 97. http://dx.doi.org/10.1016/j.jemermed.2007.11.062.

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2

Phair, I. C., and D. N. Quinton. "Clenched Fist Human Bite Injuries." Journal of Hand Surgery 14, no. 1 (1989): 86–87. http://dx.doi.org/10.1016/0266-7681(89)90023-5.

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A prospective study has been made of 29 human bite injuries caused by the clenched fist, 27 over M.P. joints and two over P.I.P. joints. All were treated by surgical exploration, within 24 hours in 84% of cases. In 62% the wound had entered the underlying joint and in 58% the bone was injured. Significantly less morbidity was noted in those cases where there was no joint injury (P < 0.001). Early surgical exploration to identify and to treat the joint injury is recommended.

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3

Hill, Elspeth J. R., Lorna C. Kahn, Lynne M. Sterni, Susan E. Mackinnon, and John M. Felder. "Median Neuropathy After Blood Draw Mimics Painful Clenched Fist Syndrome in a Child." HAND 15, no. 2 (2019): NP31—NP36. http://dx.doi.org/10.1177/1558944719837674.

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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 tre

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4

Amirthalingam, Sivabalaganeh, Mohamed Sameer, and J. K. Giriraj Harshavardhan. "A Wrong Punch and a Rare Fracture! – A Case Report of Isolated Fourth and Fifth Metacarpal Base Fracture." Journal of Orthopaedic Case Reports 12, no. 11 (2022): 110–13. http://dx.doi.org/10.13107/jocr.2022.v12.i11.3436.

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Introduction: Isolated displaced fourth and fifth metacarpal base fracture without a carpometacarpal joint subluxation or carpal bone fracture by a punch injury is extremely rare. The site of the fracture in the metacarpal is determined by the type and direction of punch. These fractures usually occur as a result of misdirected blow or wrong punch on a hard surface with a clenched fist. To best of our knowledge, there are only few published case reports. The difficulties in management and biomechanics of such fractures with 10 months follow-up are discussed in this case report. Case Report: A

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5

Shewring, D. J., R. W. Trickett, K. N. Subramanian, and R. Hnyda. "The management of clenched fist ‘fight bite’ injuries of the hand." Journal of Hand Surgery (European Volume) 40, no. 8 (2015): 819–24. http://dx.doi.org/10.1177/1753193415576249.

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We present a prospective study outlining the management of clenched fist ‘fight bite’ injuries. Over a 4-year period all patients with such injuries had surgical exploration with further débridements as necessary. For metacarpophalangeal joint injuries, a midline tendon-splitting approach was used. For proximal interphalangeal joint injuries, an approach was made between the lateral band and central slip of the extensor mechanism. A total of 147 patients with 159 joint injuries were treated, with 130 metacarpophalangeal joint and 29 proximal interphalangeal joint injuries. The joint was penetr

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6

Javed, M., S. Hemington-Gorse, and K. Shokrollahi. "A new recreational mechanism for the boxer’s knuckle: cause for concern?" Annals of The Royal College of Surgeons of England 93, no. 5 (2011): e55-e56. http://dx.doi.org/10.1308/147870811x583250.

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Traumatic injuries of the metacarpophalangeal joints are a common occurrence in professional and recreational sports such as boxing and martial arts, especially the fourth and fifth metacarpals. Injury usually results from a forceful impact with a clenched fist. The spectrum of injuries varies from simple skin laceration to extensor mechanism disruption, dorsal capsule rupture, metacarpal fractures and carpometacarpal joint injuries. These injuries are well documented in boxers as well as in patients who had been involved in fights and assaults. We report on two patients sustaining similar inj

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7

Tranchida, Geneva V., and Ann Van Heest. "Preferred options and evidence for upper limb surgery for spasticity in cerebral palsy, stroke, and brain injury." Journal of Hand Surgery (European Volume) 45, no. 1 (2019): 34–42. http://dx.doi.org/10.1177/1753193419878973.

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Surgical interventions for the spastic upper extremity secondary to stroke, traumatic brain injury, and cerebral palsy aim to correct the common deformities of elbow flexion, forearm pronation, wrist and finger flexion, ulnar deviation, and thumb-in-palm deformity. After appropriate evaluation, as well as determining the goals of surgery, deformity correction can be achieved through single-event, multi-level surgery. Surgery includes a combination of soft tissue lengthening, tendon transfer, and joint stabilization procedures. Surgical treatment for shoulder adduction/internal rotation, elbow

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8

Goudswaard, W. B., M. H. Dammer, and C. Hol. "Bacillus circulons infection of a proximal interphalangeal joint after a clenched-fist injury caused by human teeth." European Journal of Clinical Microbiology & Infectious Diseases 14, no. 11 (1995): 1015–16. http://dx.doi.org/10.1007/bf01691387.

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9

Kilian, Miroslav. "Clenched fist injury complicated by septic arthritis and osteomyelitis treated with negative pressure wound therapy: One case report." Chinese Journal of Traumatology 19, no. 3 (2016): 176–78. http://dx.doi.org/10.1016/j.cjtee.2015.04.007.

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10

Gurmeet, Singh Sarla. "Nose Injury Due To Human Bite: A Case Report." Research & Review: Management of Cardiovascular and Orthopedic Complications 2, no. 1 (2019): 27–30. https://doi.org/10.5281/zenodo.3568962.

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Following late night alcohol fuelled aggression a patient presented with a human bite over the tip of his nose. The wound was thoroughly washed with copious amounts of saline and was closed primarily with absorbable sutures and it healed well. Human bites can be classified into impediment bites and the shut clench hand bites, are polymicrobial in nature and tend to get infected. Management of human bite includes tetanus prophylaxis, adequate analgesia, extensive irrigation or debridement of the wounds. Albeit primary repair of bite wounds is related with higher paces of contamination, it

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11

Gelfand, M. S. "Hand Infection and Bacteremia Due to Methicillin-Resistant Staphylococcus aureus Following a Clenched-Fist Injury in a Nursing Home Resident." Clinical Infectious Diseases 18, no. 3 (1994): 469. http://dx.doi.org/10.1093/clinids/18.3.469.

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12

Hara, Akira, Minoru Yokoyama, Satoshi Ichihara, Toshiya Kudo, and Yuichiro Maruyama. "Masquelet technique for the treatment of acute osteomyelitis of the PIP joint caused by clenched-fist human bite injury: A case report." International Journal of Surgery Case Reports 51 (2018): 282–87. http://dx.doi.org/10.1016/j.ijscr.2018.09.015.

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13

Md. Anisuzzaman, Md Anisuzzaman, Tamanna Nusrat, and Md Nure Alam. "Postoperative Management Early Active Mobilization of Extensor Tendon Repair at Zone (V-VII)." Saudi Journal of Medical and Pharmaceutical Sciences 9, no. 09 (2023): 629–35. http://dx.doi.org/10.36348/sjmps.2023.v09i09.005.

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Background: The extensor tendons are particularly vulnerable to trauma because their superficial location in a clenched fist, the thin mobile subcutaneous tissue offers little protection, and lacerations of the extensor tendons are common over joints that are easily exposed to contamination. Objective: To assess the evaluation of the postoperative early active mobilization protocol of extensor tendon repair at zone (V-VII). Methods: In this prospective study was carried out at Orthopedic Dept., 250 Bed General Hospital, Kishoreganj, Bangladesh from January to June 2023. Total 40 cases of fresh

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14

Elghoul, Naoufal, Ali Zine, and Abdeloihab Jaafar. "A Mislead Human Bite Cause a Septic Arthritis with Articular Destruction of the Fifth Metacarpophalangeal Joint: A Case Report and Review of the Literature." Advances in Bioscience and Clinical Medicine 7, no. 3 (2019): 20. http://dx.doi.org/10.7575/aiac.abcmed.v.7n.3p.20.

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Due to severe and fatal complications that can cause the human bite injuries to the joint; these injuries were described as “the cancer of the hand”. Human bites are less common than domestic animal bites, accounting for only 2% of hand bites. Moreover, if a human bite wound occurred in the hand, it may lead to severe infection as septic arthritis and osteomyelitis which its incidence account about only 2%. Herein, we report a rare case of a 22 years old man who presented a “minor” wound of the hand due to clenched fist human bite, managed initially inadequately leading to massive destruction

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15

Chae, Seungbum, Junho Nam, Il-Jung Park, Steven S. Shin, Michelle H. McGarry, and Thay Q. Lee. "Kinematic analysis of two scapholunate ligament reconstruction techniques." Journal of Orthopaedic Surgery 29, no. 2 (2021): 230949902110258. http://dx.doi.org/10.1177/23094990211025830.

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Purpose: This study compares the kinematic changes after the procedures for scapholunate interosseous ligament (SLIL) reconstruction—the modified Brunelli technique (MBT) and Mark Henry’s technique (MHT). Methods: Ten cadaveric wrists were used. The scapholunate (SL) interval and angle and radiolunate (RL) angle were recorded using the MicroScribe system. The SL interval was measured by dividing the volar and dorsal portions. Four motions of the wrist were performed—neutral, flexion, extension, and clenched fist (CF) positions—and compared among five conditions: (1) intact wrist, (2) volar SLI

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16

LETCHUMANAN, SUWATYRA, and RUWAIDIAH IDRIS. "APPLICATION OF FIBONACCI SERIES, GOLDEN PROPORTIONS AND GOLDEN RECTANGLE TO HUMAN HAND USING STATISTICAL ANALYSIS." Universiti Malaysia Terengganu Journal of Undergraduate Research 2, no. 4 (2020): 31–40. http://dx.doi.org/10.46754/umtjur.v2i4.177.

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The Greek letter φ (Phi) represents one of the most mysterious numbers (1.618…) known to humankind. Historical approbation for φhas led to the monikers “The Golden Number” or “The Divine Proportion”. This simple, but inscrutable number, is inseparably linked to the recursive mathematical sequence which produces Fibonacci numbers. The study of the Fibonacci sequence exists in most aspects of life starting from the leaves of a non-flowering plant, design, paintings, animals, and even human body. Despite its wide-spread prevalence and existence, the Fibonacci series and also the Rule of Golden Pr

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17

Oh, Christine, Michael W. Fort, and Sanjeev Kakar. "Validation of the Clenched Fist View in Detecting Scapholunate Ligamentous Injury." HAND, January 18, 2024. http://dx.doi.org/10.1177/15589447231223774.

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Background: The purpose of this study was to determine the predictive value of the clenched fist stress views in identifying scapholunate ligament injuries. Methods: An institutional review board–approved retrospective chart review was conducted of adult patients who underwent diagnostic arthroscopy with a ligamentous wrist injury from 2015 to 2020. Standard posteroanterior, lateral, and clenched fist stress radiographs were reviewed and scapholunate ligament gaps recorded. Results: A total of 124 patients were included, of which 88 had normal standard radiographs and clenched fist radiographs

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18

Kay, Harrison F., Hyunwoo P. Kang, Robert Fisch, Milan Stevanovic, Alidad Ghiassi, and Luke T. Nicholson. "The management of clenched fist injuries with local anaesthesia and field sterility." Journal of Hand Surgery (European Volume), September 29, 2020, 175319342096058. http://dx.doi.org/10.1177/1753193420960588.

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Clenched fist injury is associated with a high risk of infectious complications and is commonly managed with formal irrigation and debridement in the operating theatre. The purpose of this study was to determine outcomes associated with irrigation and debridement of clenched fist injuries under local anaesthesia using field sterility outside the operative theatre. In this single centre study, 232 patients were identified with clenched fist injury and 210 were treated with a standard protocol beginning with administration of intravenous antibiotics and then irrigation and debridement at the bed

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19

FAHRENKOPF, Matthew P., and Peter C. RHEE. "Management of the Clenched Fist in Adult Patients with Upper Motor Neuron Syndrome." Journal of Hand Surgery (Asian-Pacific Volume), July 11, 2025. https://doi.org/10.1142/s2424835525400065.

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The clenched fist deformity (CFD) in adult patients with upper motor neuron syndrome (UMNS), typically due to a brain or spinal cord injury, can develop from an imbalance of the extrinsic finger flexors relative to the extensors. This brings the fingers into a flexed posture across the metacarpophalangeal (MCP) and interphalangeal (IP) joints and places the fingertips close to or in contact with the palm. The intrinsic musculature of the hand also plays a contributing role to the flexion deformity across the MCP joints whose contribution to the deformity can be masked by the extrinsic flexors.

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20

Feder, Oren I., Joseph P. Letzelter, and Jacques H. Hacquebord. "Dorsal Dislocation of the Trapezoid with Metacarpal Instability: A Boxing Injury." Journal of Wrist Surgery, August 27, 2020. http://dx.doi.org/10.1055/s-0040-1715801.

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Abstract Background The second and third metacarpals are firmly attached, immobile structures which for the stable pillar of the hand. The trapezoid has been described as the keystone of the wrist, allowing a wide range of functional motion as well as inherent anatomic and biomechanical stability to the carpus. Case Description We describe a novel boxing injury with a 180-degree in situ dislocation of the right trapezoid with concomitant second and third carpometacarpal (CMC) joint dislocations. Open anatomic reduction of the trapezoid was obtained, and subsequent percutaneous pinning of the m

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21

Bavikatte, Ganesh, Gerard E. Francisco, Wolfgang H. Jost, et al. "Pain, disability, and quality of life in participants after concurrent onabotulinumtoxinA treatment of upper and lower limb spasticity: Observational results from the ASPIRE study." PM&R, May 30, 2024. http://dx.doi.org/10.1002/pmrj.13195.

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AbstractIntroductionUpper and lower limb spasticity is commonly associated with central nervous system disorders including stroke, traumatic brain injury, multiple sclerosis, cerebral palsy, and spinal cord injury, but little is known about the concurrent treatment of upper and lower limb spasticity with botulinum toxins.ObjectiveTo evaluate onabotulinumtoxinA (onabotA) utilization and to determine if concurrent onabotA treatment of the upper and lower limbs has supported improvements in participants with spasticity.DesignSub‐analysis of a 2‐year, international, prospective, observational regi

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22

Tuntiyatorn, Panithan, Chanakarn Rojpitipongsakorn, Kulapat Chulsomlee, Pongsakorn Pittayasoponkij, Thepparat Kanchanathepsak, and Tulyapruek Tawonsawatruk. "A Scaphoid Safety Scapholunate Interosseous Ligament Reconstruction. The Non–Bone Tunnel Technique and Clinical Outcomes." Techniques in Orthopaedics, April 17, 2024. http://dx.doi.org/10.1097/bto.0000000000000665.

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Objective: In the chronic unrepairable scapholunate interosseous ligament (SLIL) injury stage, scapholunate ligament (SL) reconstruction remains the gold standard treatment. However, most surgical techniques are required to make the bone tunnel by drilling through the scaphoid, which may introduce iatrogenic scaphoid fracture as a complication. Thus, the aim of this study was to describe an alternative surgical technique for SLIL reconstruction by using a double anchor suture instead of bone drilling. Materials and Methods: A total of 5 consecutive cases of chronic scapholunate dissociation th

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23

Zhi, Yunlong, Chengyue Wu, and Maoqiang Li. "Distal forearm squeeze test for the diagnosis of digital flexor tendon injuries." BMC Musculoskeletal Disorders 24, no. 1 (2023). http://dx.doi.org/10.1186/s12891-023-07104-3.

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Abstract Background The forearm/wrist squeeze/compression test has been used to examine digital flexor tendon injuries with varied names. Furthermore, the test has not been minutely described and its mechanism remains unclear. We renamed the test the “distal forearm squeeze test”. The purpose of this study was to elaborate on the test and elucidate the mechanism. Methods Two patients with digital flexor tendons ruptured in zone 3 and zone 1 respectively and 50 outpatients with intact digital tendons underwent the test. Then the test was performed on 3 chickens under 4 conditions. First, when t

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24

Ledoux, Elissa D., Nithin S. Kumar, and Eric J. Barth. "Design, modeling, and preliminary evaluation of a simple wrist-hand stretching orthosis for neurologically impaired patients." Wearable Technologies 5 (2024). https://doi.org/10.1017/wtc.2024.22.

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Abstract This work studies upper-limb impairment resulting from stroke or traumatic brain injury and presents a simple technological solution for a subset of patients: a soft, active stretching aid for at-home use. To better understand the issues associated with existing associated rehabilitation devices, customer discovery conversations were conducted with 153 people in the healthcare ecosystem (60 patients, 30 caregivers, and 63 medical providers). These patients fell into two populations: spastic (stiff, clenched hands) and flaccid (limp hands). Focusing on the first category, a set of desi

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