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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Jenna Ingola (jennaingola)}
\pdfinfo{
  /Title (rotator-cuff-tear.pdf)
  /Creator (Cheatography)
  /Author (Jenna Ingola (jennaingola))
  /Subject (Rotator Cuff Tear Cheat Sheet)
}

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% Commands
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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Rotator Cuff Tear Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Jenna Ingola (jennaingola)} via \textcolor{DarkBackground}{\uline{cheatography.com/165615/cs/34691/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Jenna Ingola (jennaingola) \\
  \uline{cheatography.com/jennaingola} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 24th October, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pathophysiology}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Majority occur in the rotator crescent} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Rotator cable takes load majority, allowing the RC muscles to still function and keep humeral head in place} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{A tear in the ant. cable creates a larger gap, increases cuff strain, and loses its stress shielding capabilities} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Mostly supraspinatus tendon} \tn 
% Row Count 8 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{If the tear enlarges (which it may not), only a minority enlarge \textgreater{}5mm in 3 years} \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Prognosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Clinically important change (reported by pt) in 12 weeks} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Up to 4-6 months (more severe cases)} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.54287 cm} x{3.43413 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Special Populations to Consider}}  \tn
% Row 0
\SetRowColor{LightBackground}
Diabetics & Tear frequently, do not respond well to treatment \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\seqsplit{Hypothyroidism} & Susceptible to develop muscle aches, tenderness and stiffness \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Metabolic syndrome & Cluster of conditions that increase risk of diabetes \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Epidemiology}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Older sports person with shoulder pain during activity.} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\textless{}40 generally trauma} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\textgreater{}60 generally degenerative} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{40\textless{}x\textgreater{}60 either trauma or degenerative} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.89586 cm} x{4.08114 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Risk Factors for Progression}}  \tn
% Row 0
\SetRowColor{LightBackground}
Tear size & 1-tendon tears may remain dormant while 2-tendon lesions are more likely to undergo structural deterioration \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\seqsplit{Location} & Ant. RC cable tears have sig greater tear migration, decreased tendon stiffness, and increased regional tendon strain \tn 
% Row Count 8 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Types}}  \tn
% Row 0
\SetRowColor{LightBackground}
Small & up to 1cm \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Medium & 1-3 cm \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Large & 3-5 cm \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
Massive & \textgreater{}5cm \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Clinical Presentation}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Pain with overhead activity (throwing, swimming, overhead shots with racket). \textless{}90 degrees usually pain free.} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Pain may present with abduction (painful arc) or IR behind back} \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Scapular muscle weakness and dysfunction, tightness of the posterior capsule and other soft tissues and postural abnormalities} \tn 
% Row Count 8 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Subjective Markers}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{MOI}}: Falling on outstretched hand, unexpected pushing or pulling, or during shoulder dislocation.} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Night pain.} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{History of associated symptoms of instability (ex. recurrent subluxation or episodes of "dead arm")} \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.44333 cm} x{3.53367 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Objective Assessment}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Observation} & Muscle atrophy (infraspinatus may also mean suprascapular nerve injury) \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Palpation & Tenderness over supraspinatus tendon to or at its insertion into the greater tuberosity of the humerus. \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
AROM/PROM & Painful arc btwn 70-120deg (AROM). IR reduced. \tn 
% Row Count 9 (+ 2)
% Row 3
\SetRowColor{white}
Strength & IR, ER (infraspinatus), and abd. (supraspinatus) may be reduced. Measure with the scapula accurately stabilized. \tn 
% Row Count 13 (+ 4)
% Row 4
\SetRowColor{LightBackground}
Functional Tests & throwing overhead \tn 
% Row Count 15 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Rehab}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Exercise \textgreater{} over no treatment or placebo and did not differ in outcomes compared to surgery or multi-modal physio (Littlewood et al)} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Improving scapular stability, neuromuscular control of shoulder girdle and thoracic posture, "loosen" tight muscles} \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Address altered shoulder complex kinematics (decreased SA strength, hyperactivity and early activity of upper traps, decreased activity and late activations of middle and lower traps)} \tn 
% Row Count 10 (+ 4)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Examples: "low row", "lawnmover", "robbery" - stabilizing but not stressing GHJ} \tn 
% Row Count 12 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Strengthening middle/lower traps, and RC muscles (starting w low load), ant. delt., and teres minor} \tn 
% Row Count 14 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Exercise plan (Edwards, Ebert, Joss, Bhabra et al. 2016)} \tn 
% Row Count 16 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Special Tests}}  \tn
% Row 0
\SetRowColor{LightBackground}
Subscapularis & Lift off, Belly Press, Belly-off sign, Bear Hug Test \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Supraspinatus and Infraspinatus & External rotation lag sign, Jobe's, Drop arm test, Neer \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Teres minor & Hornblower's sign \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}