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Agreement on the 2 qualitative parameters was excellent (p less then 0.001). Intra-observer reproducibility results were non-significant on all parameters. DISCUSSION The 2 intra-articular LHB cross-sections proved reliable and reproducible in painful and in healthy shoulders. A standardized ultrasound protocol could thus enhance the precision of LHB assessment and treatment. The difficulties of LHB measurement, often related to shoulder pathology, may, however, hinder interpretation. LEVEL OF EVIDENCE III, prospective intra- a