Transverse or longitudinal? A survey of volar wrist incision preferences

Abstract

Introduction:In volar wrist surgery, the traditional longitudinal incision leaves a scar that may be considered cosmetically unpleasant. Recent studies suggest that transverse wrist incisions result in more aesthetically pleasing scars that are well hidden in the wrist crease. The aim of our study was to explore the public's perceptions of longitudinal versus transverse wrist scars. Methods:A prospective survey was conducted among the general public. Inclusion criteria were patients aged over 18 years with no prior surgery to the wrist. Survey questions assessed included: (a) longitudinal or transverse scar preference; (b) reasons for preference; and (c) demographic information. Results: There were 107 respondents from the general public. More respondents preferred longitudinal scars. Top three reasons for longitudinal scar preference were: (a) perceived damage to wrist structures by a transverse incision; (b) better cosmesis; and (c) scar from the transverse incision appearing like a self-inflicted injury. Top three reasons for transverse scar preference were: (a) easily concealed by accessories; (b) less noticeable; and (c) better cosmesis. Respondents aged 60 years and above were most concerned about possible damage to wrist structures; younger respondents were most concerned that transverse scars appeared like self-inflicted injuries. Conclusion: Respondents from the general public preferred a longitudinal scar to a transverse one. Younger respondents were most concerned about how the transverse scar appeared like a self-inflicted injury while older respondents were most concerned with perceived functional implications of the incisions.

Transverse incision versus longitudinal incision in the implantation of PICC-port: A before-after study

“…The lower scar score in the longitudinal incision group was mainly attributed to the color of the scar, and the skin color of the incision would be darker than that of other parts in the arm. Our result is inconsistent with that of Siow et al, 13 the main difference is that the skin tissue of the wrist is different from that of the upper arm, which is obviously more relaxed. And there is no risk of tendons, veins, and arteries damage due to transverse incision in the arm.…”

“…Our result is inconsistent with that of Siow et al, 13 the main difference is that the skin tissue of the wrist is different from that of the upper arm, which is obviously more relaxed. And there is no risk of tendons, veins, and arteries damage due to transverse incision in the arm.…”

Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative idea and preliminary report "Amin’s technique"

“…In an interesting study, Siow et al [18] carried a social [general public] survey to search about patient preferences regarding volar incision. 107 responses had been analyzed.…”