Scar dressings are commonly used in managing burn and hypertrophic scars, although supporting evidence is lacking. Care providers commonly report improvements, however, and pressure therapy has been effective in treating ear keloids. The general acceptance of the treatment as effective may prevent it from being further studied in clinical trials. A long-term course of corticosteroid injections into the scar may help flatten and soften the appearance of keloid or hypertrophic scars. Topical steroids are ineffective. However, clobetasol propionate can be used as an alternative treatment for keloid scars. Scar revision is a process of cutting the scar tissue out. After the
Fibrous joint the tissue linking the structures is ligamentous. A gomphosis is a specialized fibrous joint in which a conical process or peg of one bone fits into a hole or socket in another bone. (gomphos is a Greek word meaning bolt). Small quantity of fibrous tissue holds the bones together. No movement is possible at such peg-and-socket joints. Fibrous joint Fibrous joints are connected by dense connective tissue, consisting mainly of collagen. These are fixed joints where bones are united by a layer of white fibrous tissue of varying thickness. In the skull the joints between the bones are called sutures.