Rotator cuff tear With longer-standing pain, the shoulder is favored and gradually loss of motion and weakness may develop, which, due to pain and guarding, are often unrecognized by the patient and only brought to attention during examination. Primary shoulder problems may cause pain over the deltoid muscle intensified by abduction against resistance - the impingement sign. This signifies pain arising from the rotator cuff, but cannot distinguish between inflammation, strain, or tear. Patients may report that they are unable to reach upwards to brush their hair or to lift a food can from an overhead shelf. It has been suggested that no
Mucous sheaths of the tendons around the ankle the level of the tip of the malleolus, while that for the Flexor digitorum longus is slightly higher; the former is continued to the base of the first metatarsal, but the latter stops opposite the first cuneiform bone. On the lateral (outer) side of the ankle a sheath which is single for the greater part of its extent encloses the Peronæi longus and brevis. It extends upward for about 4 cm. above the tip of the malleolus and downward and forward for about the same distance. Mucous sheaths of the tendons around the ankle The mucous sheaths of the tendons