#Flexture lines of the hadn skin#
#Flexture lines of the hadn full#

#Flexture lines of the hadn full#

While a full return to normal function is unlikely, hand therapy is vital to optimize dexterity of the affected digit. Post-operatively the hand will be placed in a special brace or splint to reduce tension on the tendon and protect the repair. Kraissl's lines differ from Langer's lines in that while Langer's lines were defined in cadavers, Kraissl's lines have been defined in living individuals. In general the two ends of the severed tendon are sutured back together.

#Flexture lines of the hadn skin#

Other authors have created topological skin maps. Also, the lines described by Kraissl differ in some ways from Langer's lines, particularly on the face. Sometimes the exact direction of the collagen fibers are unknown, because in some regions of the body there are differences between different individuals. Keloids are more common when incision is given across Langer's lines. The orientation of stab wounds relative to Langer's lines can have a considerable impact upon the presentation of the wound. Conversely, incisions perpendicular to Langer's lines have a tendency to pucker and remain obvious, although sometimes this is unavoidable. Incisions made parallel to Langer's lines may heal better and produce less scarring than those that cut across.

They can allow movements, such as the creases of the hand, they separate. If a surgeon has a choice about where and in what direction to place an incision, they may choose to cut in the direction of Langer's lines. The flexure lines or skin joints 1, as Wood Jones refers to the creases. Knowing the direction of Langer's lines within a specific area of the skin is important for surgical operations, particularly cosmetic surgery. From this testing he observed patterns and was able to determine 'line directions' by the longer axes of the ellipsoidal holes and lines. He noticed that the resultant punctures in the skin had ellipsoidal shapes. Langer punctured numerous holes at short distances from each other into the skin of a cadaver with a tool that had a circular-shaped tip, similar to an ice pick. The lines were first discovered in 1861 by Austrian anatomist Karl Langer (1819–1887), though he cited the surgeon Baron Dupuytren as being the first to recognise the phenomenon.