Scar Management: Difference between revisions
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Scars are the normal and unavoidable outcomes of tissue healing where the fibrous tissue replaces normal tissue as a part of the remodeling phase of wound healing. The collagen synthesized initially is random and constituting bulky fibers, which eventually remodels along the lines of tension. As this normal process occurs there is a risk of adhesions in the adjacent tissues. Eventually, these collagen fibers are replaced with stronger and more organized collagen, representing a smoother and flat scar which is paler in appearance.<ref>Jones L. Scar Management in Hand Therapy–is our Practice Evidence Based?. The British Journal of Hand Therapy. 2005 Jun;10(2):40-6.</ref> | Scars are the normal and unavoidable outcomes of tissue healing where the fibrous tissue replaces normal tissue as a part of the remodeling phase of wound healing. The collagen synthesized initially is random and constituting bulky fibers, which eventually remodels along the lines of tension. As this normal process occurs there is a risk of adhesions in the adjacent tissues. Eventually, these collagen fibers are replaced with stronger and more organized collagen, representing a smoother and flat scar which is paler in appearance.<ref>Jones L. Scar Management in Hand Therapy–is our Practice Evidence Based?. The British Journal of Hand Therapy. 2005 Jun;10(2):40-6.</ref> | ||
A scar that stays within the boundaries of the original wound is a firm scar. | |||
=== Keloid === | |||
Scars that progressively encroach on the surrounding area of skin tissue resulting in a cosmetic and emotional distress. They frequently develop in areas rich in blood supply like the ear lobe or the presternal area. | |||
== | === Hypertrophic scars === | ||
Prolonged inflammation causes excessive collagen deposition with an increased adhesiveness and contractility of the scar. The resulting scare is red, vascular, immobile and raised. This can adversely affect range of motion and cause functional limitations when present around a joint. | |||
== Assessment == | |||
Objective measures: | |||
Size: A scar usually undergoes a period of over growth before maturing and becoming flatter | |||
Colour | |||
Pliability | |||
Temperature | |||
Subjective measures: | |||
=== Normal would healing === | === Normal would healing === | ||
Collagen fibers synthesized are produced as a weak, random, bulky fires, these fibers would remodel based on the lines of tension. This poses the risk of adhesions and contracture | Collagen fibers synthesized are produced as a weak, random, bulky fires, these fibers would remodel based on the lines of tension. This poses the risk of adhesions and contracture | ||
<references /> | <references /> | ||
Revision as of 19:31, 1 December 2020
Introduction[edit | edit source]
Scars are the normal and unavoidable outcomes of tissue healing where the fibrous tissue replaces normal tissue as a part of the remodeling phase of wound healing. The collagen synthesized initially is random and constituting bulky fibers, which eventually remodels along the lines of tension. As this normal process occurs there is a risk of adhesions in the adjacent tissues. Eventually, these collagen fibers are replaced with stronger and more organized collagen, representing a smoother and flat scar which is paler in appearance.[1]
A scar that stays within the boundaries of the original wound is a firm scar.
Keloid[edit | edit source]
Scars that progressively encroach on the surrounding area of skin tissue resulting in a cosmetic and emotional distress. They frequently develop in areas rich in blood supply like the ear lobe or the presternal area.
Hypertrophic scars[edit | edit source]
Prolonged inflammation causes excessive collagen deposition with an increased adhesiveness and contractility of the scar. The resulting scare is red, vascular, immobile and raised. This can adversely affect range of motion and cause functional limitations when present around a joint.
Assessment[edit | edit source]
Objective measures:
Size: A scar usually undergoes a period of over growth before maturing and becoming flatter
Colour
Pliability
Temperature
Subjective measures:
Normal would healing[edit | edit source]
Collagen fibers synthesized are produced as a weak, random, bulky fires, these fibers would remodel based on the lines of tension. This poses the risk of adhesions and contracture
- ↑ Jones L. Scar Management in Hand Therapy–is our Practice Evidence Based?. The British Journal of Hand Therapy. 2005 Jun;10(2):40-6.
