DISCUSSION ON THE PAINFUL SHOULDER.
Three or four definite types are separated from among the many examples of painful shoulder and their treatment is debated:- (1) ADHESIONS AROUND THE JOINT.: Characterized by limitation of movement at the shoulder-joint, through the outer half of its range. Curable by manipulative surgery. (2) TENDONITIS.: Characterized by painful movements through a small arc in the middle of the normal range. Curable in the hyperacute patient by operation, in the acute by rest in partial abduction with the assistance of time. (3) OSTEO-ARTHRITIS OF THE SHOULDER-JOINT.: Characterized by painful extremes of movement. Incurable but capable of alleviation by physiotherapy. (4) SUBACUTE ARTHRITIS OF THE SHOULDER-JOINT.: Characterized by muscle spasm at the commencement of movement. To be treated by rest on an abduction splint, and the eradication of septic foci.