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38 yr old male with 5 months pain and severely limited ROM.
There is marked capsular thickening and edema, most pronounced in the axillary capsule; this is adhesive capsulitis.There is diffuse thickening of the MGHL.
I understand the MGHL is routinely thickened and resected in arthroscopic capsular release, but I have not found that it is commonly visible.
There is no imaging abnormality of the cuff or labrum.
Although he is unusually young and male for this diagnosis, imaging features and clinical symptoms are diagnostic for adhesive capsulitis.
