A study relating wound tension to scar morphology in the pre-sternal scar using Langers technique

Br J Plast Surg. 1991 May-Jun;44(4):291-4. doi: 10.1016/0007-1226(91)90074-t.


Using the techniques of Karl Langer (1861) a cadaver study has been performed to relate the pattern of skin tension to scar morphology found in the pre-sternal scar. It is demonstrated that hypertrophic scarring occurs in areas of high tension with "pull" in many directions, but that a stretched scar results from increased tension in one axis only.

MeSH terms

  • Cadaver
  • Cicatrix / pathology
  • Cicatrix / physiopathology*
  • Humans
  • Methods
  • Skin / injuries
  • Skin / pathology
  • Tensile Strength