Shortening of CT supporting structures on/around a joint. Cannot fully lengthen- reduced ROM at a joint. Can include adhesions/irreversible contractures.
Occurs when reduced motion at a joint allows cross links to form among collagen fibres. Reducing ROM. Most evident as seen in postural dysfunction/immobilization of limb.
Define Scar Tissue Adhesion
Occurs with injury/acute inflammation. Collagen fibre formation during tissue repair causes contractures + adhesions. Between skin, muscle, tendons and groups of muscles. Can occur in joint capsule.
Define Fibrotic Adhesion
Occurring with ongoing chronic inflammation- moderate to severe restrictions that are difficult to resolve.
Define Irreversible Contracture
When fibrotic tissue or bone replaces muscle/CT. Permanent loss of ROM, only resolved through surgery.
Define Proud Flesh
Thick dermal granulation tissue that results from abnormal healing.Wound does not re-epithelialize- causing chronic inflammation.Resulting tissue formed by disorganized collagen and capillaries.Raised/red structure, can be surgically cut back.
Define Hypertrophic Scarring
An overgrowth of dermal tissue that remains within the boundaries of original wound.Collagen fibres formed in random nodular/whirl patterns.May occur at site of severe burns, skin grafts, skin graft donor sites. May be surgically excised and resutured.
Dermal scar tissue that extends beyond borders of original wound. Tumor-like growth, More random than hypertrophic, may continue to grow for several years. Do not respond well the surgical excision, Steroids used to reduce/prevent keloids.