Some uncertainty exists as to the most suitable treatment for tuberculosis of the shoulder in adults. This is due partly to the relative rarity of this condition and partly to the inadequate follow-up after treatment. In the case of children the problem seems simpler, because there is almost complete agreement that treatment should be conservative. In this paper treatment will be evaluated on the basis of the experience at the Lakeville State Sanatorium.
Since tuberculosis is a systemic illness with local manifestations, the general treatment of the patient is of great importance. If possible, a period of sanatorium care should be instituted before operative procedures are undertaken. Fresh air, an adequate and balanced diet and regular rest periods are important in restoring the patient to his optimum physical condition. Immobilization of the affected shoulder in a plaster cast is orthodox therapy.
For children a long period of conservative treatment is
WASSERSUG JD. TREATMENT OF TUBERCULOSIS OF THE SHOULDERA STUDY OF END RESULTS. Arch Surg. 1941;42(4):730-738. doi:10.1001/archsurg.1941.01210100090009