Modern surgery, general and operative . he tuberosity passes be-neath the acromion. The scapula does not accompany the motions of thehumerus. There is often considerable pain after motion. Codman points out that the prognosis in type one is very favorable iftreatment is correct. In t3^e two the disability, even without treatment,seldom lasts more than two years. He says that even severe or adherentcases, if there are no secondary contractures in the forearm muscles, wiUrecover in from one to two years. In infective cases the prognosis is far worsethan in traumatic cases. In chronic cases, in w
Modern surgery, general and operative . he tuberosity passes be-neath the acromion. The scapula does not accompany the motions of thehumerus. There is often considerable pain after motion. Codman points out that the prognosis in type one is very favorable iftreatment is correct. In t3^e two the disability, even without treatment,seldom lasts more than two years. He says that even severe or adherentcases, if there are no secondary contractures in the forearm muscles, wiUrecover in from one to two years. In infective cases the prognosis is far worsethan in traumatic cases. In chronic cases, in which the arc of mobility is notaffected, the prognosis is fairly good. Treatment.—Acute cases of subacromial bursitis should be treated bykeeping the arm abducted in a splint (Fig. 461). Monks suggests that thepatient may sit by a table, the arm being abducted and placed upon a pillowthat is on the table. This relaxes the short rotators and the deltoid, and keepsthe base of the biursa from being in contact with the acromion. At night. Fig. 460.—Showing incision used for demonstration ofthe bursa (Codman). 730 Diseases and Injuries of Muscles, Tendons, and Bursae Codman places the arm on a pillow, with its lonj^; axis at right angles to thepatients body as he lies recumbent. If the patient has to get about, he niayuse a sling most cautiously. He should take the arm out from time to timeand rest it on a table. Massage should be used about the bursa, but notdirectly over it. In the more severe cases with adhesions one may employmassage, passive and active movements, baking, forcible movement and
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
