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Chronic Adhesive Bursitis
Adhesion in the bursal wall may form after a longstanding inflammation or a local bleeding.
The clinical pattern is characterised by a slight but painful limitation of (in most cases only one) passive movement.
As a rule the medial rotation is limited, more exceptionally the elevation or lateral rotation.
There is no painful arc
Some resisted movements (most often the resisted abduction and/ or lateral rotation) may be painful as well.
There is local tenderness in case the lesion is superficially localised.
Local Treatment: Same procedure and technique as in an uncomplicated subdeltoide bursitis.
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