SCAR TISSUE (FINAL)

Question 1

CONTRACTURE

Answer 1

-shortening of CT supporting structures over / around joint
(muscles, tendons, joint capsules)
-tissue cannot fully lengthen = decreased ROM
-soft tissue contractures: adhesions & irreversible

Question 2

ADHESION

Answer 2

-when reduced motion at joint allows cross-links to form among collagen fibers, further reducing ROM
-most evident when tissue is left in shortened position for prolonged periods of time (ex. postural dysfunctions)

Question 3

SCAR TISSUE ADHESION

Answer 3

-occurs with an injury / acute inflammatory process
-collagen fiber formation during tissue repair process allows adhesions & contractures to form in RANDOM pattern, reducing ROM

Question 4

FIBROTIC ADHESION

Answer 4

-occurs with ongoing chronic inflammation that can cause moderate to severe restrictions in ROM
-difficult to eradicate

Question 5

IRREVERSIBLE CONTRACTURE

Answer 5

-occurs when fibrotic tissue / bone replaces muscle & CT
-permanent loss in ROM -> can only be restored by surgical means

Question 6

PROUD FLESH

Answer 6

-thick dermal granulation tissue
-results from abnormal healing process
-when wound does NOT re-epithelialize, there is chronic inflammation
-granulation tissue composed of disorganized collagen & capillaries
-RAISED, RED structure that is susceptible to damage

Question 7

HYPERTROPHIC SCARRING

Answer 7

-overgrowth of dermal tissue
-remains WITHIN boundaries of wound
-collagen fibers randomly organized in nodular / whirl pattern rather than loose, wavy pattern found in dermis
-associated with deep partial / full thickness burns that have healed with second intention healing / healing at edges of skin grafts

Question 8

KELOID SCAR

Answer 8

-dermal scar tissue
-extends BEYOND original wound in tumor-like growth
-contains increased amount of collagen in a MORE random pattern (compared to hypertrophic scar)
-may continue to grow for years
-do not respond well to surgery, may recur