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TREATMENT OF ACUTE BURSITIS BY NEEDLE IRRIGATION
ROBERT LEE PATTERSONJR.; WILLIAM DARRACH
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The Fracture Service of the Presbyterian Hospital, New York City
1937 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1937; 19:993-1002 
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Abstract

1. Sixty-three cases of subdeltoid bursitis were treated by the simple irrigation method.

2. The results, evaluated on the basis of relief of the acute pain and on getting the patients back to work earlier than with any other form of treatment, seem to warrant its use.

3. The average period of economic disability following the irrigation is 4.8 days in the acute cases. There have been very few recurrences of symptoms in the acute cases (some of the cases have been followed for over thirteen months).

4. Irrigation is not desirable in cases in which the roentgenograms show old calcification with a hard, bonelike appearance, probably in the supraspinatus tendon. To show calcium, roentgenograms should be taken in as much internal and external rotation as possible.

5. Irrigation did no harm in any of our cases; it may, therefore, be tried in any case, but it is recommended primarily for the acute cases with localized signs and symptoms.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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