BURSITIS.
For acute inflammation of bursLe following injuries and wounds, rest of the limb on a padded splint, and the application of cold lotions or ice, generally suffice to bring about resolution. If much pain he present, poultices smeared with Green Extract of Belladonna, or hot fomentations may be applied; and if suppuration occur, which is liable when septic wounds are present, a free incision and subsequent syringing with very weak Sublimate Solution, followed by Boric Acid compresses, will be required.
The most frequently met with type of bursitis is that due to kneeling, and known as " housemaid's knee," from the peculiar swelling on the front of the patella. When acute it should be treated by rest and ice, or evapor ating lotions. The chronic variety usually yields to daily application of strong Iodine tincture, applied freely (as each layer is allowed to dry it may be followed by a fresh one), so that blistering occurs. Should this
fail, the fluid may be aspirated, and if it soon collect again, strapping or a splint and tight bandage may be applied after a second aspiration. Should the fluid again collect, i c.c. of the following should be injected after removing the fluid from the interior of the sac: Ac. Carbolici 45. Camphone 45. Alcohol Absoluti Or a small syringefu] of weak Tincture of Iodine may be injected and allowed to remain in for a few minutes.
When loose and irritating bodies are present within the bursa no ex pectant treatment will be successful, and the sooner the patient submits to excision the better.
In performing excision care should he taken to place the scar in such a position that it will be free from pressure. The bursa should he re moved entire so as to prevent recurrence of the swelling.