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Subacromial Bursitis

1916; American Medical Association; Volume: LXVI; Issue: 12 Linguagem: Inglês

10.1001/jama.1916.02580380062033

2376-8118

Walter M. Brickner,

Musculoskeletal synovial abnormalities and treatments

To the Editor: —In the March, 1915, issue of the American Journal of the Medical Sciences , I published an article discussing "Prevalent Fallacies Concerning Subacromial Bursitis: Its Pathogenesis and Rational Operative Treatment." Among other points I emphasized the following: The calcareous deposit often found in these cases is not, as generally believed, in the bursa, but beneath it, in or on, or in and on, the supraspinatus tendon or, occasionally, the infraspinatus; and "excision of the bursa," recommended as a routine operative treatment by some textbook writers and others, is not only unnecessary but, in fact, cannot be performed "without a mutilating dissection" because of the extent of this large bursa and its intimate relations with the neck of the humerus and the capsule of the shoulder joint. My contentions were based on the study of many cases clinically, cadaver dissections and, at that time, seven operations. InThe Journal