insertional area of deltoid muscle and decreased range of motion. The pathophysiologic
process involves fibrous inflammation of the capsule and intra-articular adhesion of synovial
folds leading to capsular thickening and contracture. Multi-directional limitation of motion is
especially prominent in external rotation, which is not only related to global fibrosis of the
capsule but also localized tightness of the coracohumeral ligament. Ultrasound and …