STIFF, PAINFUL SHOULDERS, EXCLUSIVE OF TUBERCULOSIS AND OTHER INFECTIONS

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Abstract
This article is limited to: (1) the enumeration of a number of terms for stiff, painful shoulders with practically the same clinical syndrome; (2) an analysis of the pathologic changes found in dissections, autopsies and operations; (3) a study of the rôle that rupture of the supraspinatus tendon, capsule and subacromial bursa plays as an etiologic factor; (4) a review of a few cases to emphasize the importance of apparently trivial symptoms, usually overlooked or neglected as unimportant; (5) a brief outline of the essentials of treatment, based largely on a study of 340 shoulders in dissecting rooms; (6) a description of a simplified operation for tendon and capsule repair. In particular, my purpose is to direct attention to evidence that rupture of the supraspinatus tendon is apparently the primary exciting cause of most "stiff, painful shoulders," and that an early recognition of that fact, with prompt proper treatment, will

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