The practice of surgery . Fig. 502.—Diagram from frozen section. Notice the deltoid and its origin fromthe edge of the acromion. Notice the subdeltoid or subacromial bursa with its roofmade by the under surface of the acromion and by the fascia beneath the upper por-tion of the deltoid. Its base is on the greater tuberosity and the tendon of the supra-spinatus which separates it like an interarticular fibrocartilage from the true joint(E. A. Codman). The treatment of traumatic bursitis may be extremely simple, or itmay be intricate and prolonged. The freshly damaged limb shouldbe immobilized i
The practice of surgery . Fig. 502.—Diagram from frozen section. Notice the deltoid and its origin fromthe edge of the acromion. Notice the subdeltoid or subacromial bursa with its roofmade by the under surface of the acromion and by the fascia beneath the upper por-tion of the deltoid. Its base is on the greater tuberosity and the tendon of the supra-spinatus which separates it like an interarticular fibrocartilage from the true joint(E. A. Codman). The treatment of traumatic bursitis may be extremely simple, or itmay be intricate and prolonged. The freshly damaged limb shouldbe immobilized in a position to relax the overlying muscles—the arm. Fig. —Illustrating the condition which would be found in abduction, thetuberosity having passed under the acromion and the point {b) having passed thepoint (a). The elastic deltoid has taken up the slack at one end and the supra-spinatus at the otlier. It is obvious that the floor of the bursa, as it lies on thetendon of the supraspinatus and the tuberosity, must be a smooth, even, roundsurface. As a matter of fact, the first time one cuts into the bursa one is almoststartled to find how much the floor of it looks like the cartilaginous surface of thebone. It is obvious that if the surfaces of the bursa bet\\een the points a and b inFig. 502 were adherent, it would be impossible for the joint to pass into the positionshown in Fig. 503 (E. A. Codman). somewhat elevated, in the case of subdeltoid bursitis; the leg extendedin the case of prepatellar bursitis} If the effusion into the bursa per- ^ Prepatellar bursitis is known by the ancient termolecranon bursitis is commonly calle
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
