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1937; American Medical Association; Volume: 108; Issue: 21 Linguagem: Inglês

10.1001/jama.1937.02780210030009

2376-8118

E. J. BERKHEISER,

Shoulder Injury and Treatment

Although this subject is not new and has been referred to in the medical literature occasionally since Berger's1original monograph in 1875, we feel that attention should be again given to it, especially to clarify its etiology and to stress its adequate treatment. This is supported by the fact that at a recent meeting of representative surgeons, a similar case was shown without any suggestions offered as to the proper treatment. The literature on this subject in regard to its etiology is indefinite, with many of the authors favoring the view that the disability is due to traumatic rupture of the serratus magnus at its scapular insertion. Only one author was able definitely to palpate a hiatus between what he considered the retracted portion of the muscle and the edge of the scapula. Although other authors consider that the long thoracic nerve of Bell may have been injured, their