I am responsible — for better or for worse — for the library which eventually became clojure.test. It has remained largely the same since it was first added to the language distribution back in the pre-1.0 days. While there are many things about clojure.test which I would do differently now — dynamic binding, var metadata, side effects — it has held up remarkably well.
I consider fixtures to be one of the less-well-thought-out features of clojure.test. A clojure.test fixture is a function which wraps a test function, typically for the purpose of setting up and tearing down the environment in which the test should run. Because test functions do not take arguments, the only way for a fixture to pass state to the test function is through dynamic binding. A typical fixture looks like this: