G. Noel Squires
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There is no gold standard for evaluation, treatment, and prevention of keloids. Keloids are elevated fibrous scars that extend beyond the original borders of the wound, they do not regress and they tend to reoccur even after surgical excision. Individuals younger than 30, with elevated hormone levels and darker skin tend to be at higher risks for keloids. The most susceptible areas are on areas of high tension like the sternum, shoulders, upper arms, earlobes, and cheeks. Scars are generally evaluated by depth of elevated tissue, color, softness, shape, and orientation. The etiology of keloids is uncertain but it is theorized that genetics plays a factor. Systemic hypertension has been suggested to be an associative factor. The treatments most commonly used include corticosteroid injections, silicone sheeting, compression garments, scar massage, physical therapy, radiotherapy, laser therapy and cryotherapy. Due to the complex and unknown nature of keloids as well as the minimal evidence behind their treatment, this case report serves the purpose of evaluating effects of various modalities and exercises to reduce keloid formation and decrease any functional limitations that arose from it.
Masiak, Maggie, "Strengthening Exercises And Modalities To Prevent Growth Of Hypertrophic Scarring And Improve Wrist Strength And Mobility: A Case Report" (2015). Case Report Posters. Poster 52.