April 1, 1916

Subacromial Bursitis — A Reply

JAMA. 1916;LXVI(14):1051. doi:10.1001/jama.1916.02580400057029

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To the Editor:  —In reply to Dr. Brickner's communication (Correspondence, The Journal March 18, 1916, p. 912) concerning my article on subdeltoid bursitis (The Journal, Jan. 22, 1916, p. 264), I find it necessary to clear up one or two points because Dr. Brickner has quoted only small fragments of my letter to him.The matter of extirpation of the bursa is a mere play of words, for I used the term in the sense that it is usually employed by surgeons, i. e., removal of the diseased portion. I informed Dr. Brickner that I felt that our long incision and wide retraction gave sufficient exposure to have completely removed the bursa. Our operation extirpated the bursa in the ordinary sense of the term. Only microscopic dissection would completely extirpate a structure of this kind.In regard to curetting off the inner wall of the bursa, I told Dr. Brickner

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