Scar Management

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]

Keloid:[edit | edit source]

Hypertrophic scars:[edit | edit source]

Mechanism[edit | edit source]

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

  1. Jones L. Scar Management in Hand Therapy–is our Practice Evidence Based?. The British Journal of Hand Therapy. 2005 Jun;10(2):40-6.