PAIN IN THE ARM: SUBDELTOID (SUBACROMIAL) BURSITIS

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Abstract
The statement may appear bold, even to a gathering of orthopedists, that most of the cases of persistent pain in the upper arm, so often treated for "rheumatism" and "neuritis," are surgical affections, at least in that they require mechanical treatment. In the absence of arthritis or of symptoms in other parts of the body, the diagnosis of rheumatism, as an explanation of pain in the arm, is quite untenable, and need not detain us. Brachial neuritis is a real condition but a comparatively uncommon one. When well established, it should be marked by motor, trophic or sensory signs, as well as by nerve tenderness. In all cases it is important to determine, by careful examination, including roentgenography, whether the neuritis is not simulated or produced by some other lesion. Pain in the left arm, usually referred especially to the flexor aspects of the elbow and wrist, may be associated

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