Modern surgery, general and operative . swelling persists, aspirateand apply pressure, or incise the sac and remove it partly or pus forms, incise, paint theinterior of the sac mth purecarbolic acid, and pack withiodoform gauze. Chronic bur-sitis may be cured by the useof pressure and the applicationof blue ointment, and with treat-ment of any causative diathesis,but most cases require incisionand packing. A ruptured bursais treated as an acute bursal tuberculosis the besttreatment is excision. If weare dealing with a very deepbiusa the proper treatment isincision, sc
Modern surgery, general and operative . swelling persists, aspirateand apply pressure, or incise the sac and remove it partly or pus forms, incise, paint theinterior of the sac mth purecarbolic acid, and pack withiodoform gauze. Chronic bur-sitis may be cured by the useof pressure and the applicationof blue ointment, and with treat-ment of any causative diathesis,but most cases require incisionand packing. A ruptured bursais treated as an acute bursal tuberculosis the besttreatment is excision. If weare dealing with a very deepbiusa the proper treatment isincision, scraping with a sharpspoon, mopping with carbolicacid, and packing with iodo-form gauze. Bursitis of the subacro=mial bursa has been consideredby A. E. Codman (BostonMed. and Surg. Jour., and 2g, Nov. 5, 12, 19, and26, and Dec. 3, 1908), who points out that the deltoid and the subacromialbursa are one and the same thing. When the arm is abducted, the entirebursa is subacromial; when it is adducted, a large portion of the bursa is. Fig. 45g.—Diagram from a frozen section. Noticethe deltoid and its origin, from the edge of the the subdeltoid or subacromial bursa with its roofmade by the under surface of the acromion and by thefascia beneath the upper portion of the deltoid. Its baseis on the greater tuberosity and the tendon of the supra-spinatus, which separates it like an interarticiilar fibro-cartilage from the true joint (Codman). Treatment of Bursitis of the Subacromial Bursa 729 subdeltoid. Codman describes three types of conditions associated withinflammation of this bursa, first: The acute, or spasmodic type, in whichthere is local tenderness on the point of the shoulder, just below the acro-mion process and outside the bicipital groove. In some cases Dawbarn hasshown that the tender point, which is the base of the bursa, disappears underthe acromion when the arm is abducted. Codman goes on to show that inattempting abduction about ten degrees of mo
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
