“…However, despite the use of less extensive surgery, there is still morbidity affecting the shoulder [ 1 , 2 , 3 ]. Local radiotherapy has several known effects on lung parenchyma, vascular and connective tissues [ 4 , 5 , 6 ]. Findings with respect to the latter suggest that thickening of the tissues may restrict movement of surrounding areolar tissues held within fascial planes.…”