Hypertrophic scar formation on the palmar surface of the hand

Hypertrophic scar is a fibro-proliferative disorder of wound healing more commonly found in patients of African, Asian and Hispanic descent.While it could affect many different parts of the body it is rarely found on certain locations such as the palmar surface of the hands and the plantar surface of the foot. Despite various theories the reason for this is not fully understood.
The clinical presentation and management of a 34 year old man who presented with extensive post traumatic hypertrophic scar on the palmar surface of the hand was highlighted. Extensive literature search on the subject suggest the rarity of reported cases of palmar hypertrophic scar.