\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\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{Siffi (Siffi)} \pdfinfo{ /Title (hand-muscles.pdf) /Creator (Cheatography) /Author (Siffi (Siffi)) /Subject (Hand Muscles Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{CC7635} \definecolor{LightBackground}{HTML}{FBF6F2} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \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}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hand Muscles Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/23377/}}} \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}Siffi (Siffi) \\ \uline{cheatography.com/siffi} \\ \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 8th November, 2021.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \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{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Anatomical Snuffbox}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610800720_IMG20210116123726.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Abductor Pollicis Longus}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610800619_IMG20210116123459.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Posterior surface of the shaft of the ulna + middle 1/3rd of posterior surface of the radius \newline {\bf{Insertion:}} Radial side of the 1st metacarpal base + trapezium \newline {\bf{Nerve:}} Posterior interosseous Nerve (radial) - (C7-8) \newline {\bf{Action:}} Abducts the wrist joint and assists in abducting the thumb - extends the thumb with pollicis extensors at the carpometacarpal joint} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592598573_pofdsfsd.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Can mimic deQuervain's tenosynovitis and superficial radial nerve irritation} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Abductor Pollicis Brevis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610800930_IMG20210116124046.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Proximolateral part of the thenar eminence + flexor retinaculum, scaphoid bone and trapezium \newline {\bf{Insertion:}} \{\{nl\}\} {\bf{Medial fibres:}} Radial side of the base of the proximal phalanx of the thumb \{\{nl\}\} {\bf{Lateral Fibres:}} Dorsal digital expansion of the thumb \newline {\bf{Nerve:}} Lateral Terminal branches of the median nerve (C8-T1) \newline {\bf{Action:}} Draws thumb in} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592599111_fdfjhsdkfd.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Flexor Pollicis Brevis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610801251_IMG20210116124233.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} {\bf{Superficial:}} Distal border of the flexor retinaculum \& distal tubercle of the trapezium {\bf{Deep:}} Trapezoid \& capitate \& palmar ligaments of the distal row of carpal bones \newline {\bf{Insertion:}} {\bf{Superficial:}} Radial sides of the base of the proximal phalanx of the thumb {\bf{Deep:}} Sesamoid bone and base of the 1st phalanx \newline {\bf{Nerve:}} {\bf{Superficial:}} Lateral terminal branch of the median nerve {\bf{Deep:}} Deep branch of the ulnar nerve (C8-T1) \newline {\bf{Action:}} Flexes the MCP Joint} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Opponens Pollicis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610801445_IMG20210116124933.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Tubercle of the trapezium and flexor retinaculum \newline {\bf{Insertion:}} Lateral border and adjoining lateral half of the palmar surface of the metacarpal bone of the thumb \newline {\bf{Nerve:}} Lateral Terminal Branch of the median nerve C8-T1 + Branch of the deep terminal branch of the ulnar nerve \newline {\bf{Action:}} Flexes the metacarpal joint of the thumb and assists in opposition} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592602999_hand.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Adductor Pollicis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610801602_IMG20210116125158.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} \{\{nl\}\} {\bf{Oblique:}} Capitate, bases of 2nd and 3rd metacarpal, palmar ligaments of the carpus and sheath of the tendon of FCR \{\{nl\}\}{\bf{Transverse:}} Anterior body of the 3rd metacarpal \newline {\bf{Insertion:}} Medial side of the base of the proximal phalanx of the thumb + ulnar sesamoid \newline {\bf{Nerve:}} Deep branch of the ulnar nerve (T1) \newline {\bf{Action:}} Adduct thumb at CMC Joint} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592679749_adductro.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Weeders are susceptible - TrPs in APB, FPB + OP \newline - Deep tenderness in the web of the thumb could be from scalenes, brachialis, ECRB or Brachioradialis} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Abductor Digiti Minimi}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610801742_IMG20210116125421.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Pisiform, tendon of FCU + pisohamate ligament \newline {\bf{Insertion:}} Ulnar side of the base of the proximal phalanx of the little finger, ulnar border of dorsal digital expansion of EDM \newline {\bf{Nerve:}} Deep branch of ulnar nerve (C8-T1) \newline {\bf{Action:}} Abduction of the 5th digit from the 4th} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592679916_adasd.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Flexor Digiti Minimi Brevis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610801840_IMG20210116125623.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Convex surface of the hook of the hamate + palmar surface of the flexor retinaculum \newline {\bf{Insertion:}} Ulnar side of the base of the proximal phalanx of the little finger \newline {\bf{Nerve:}} Deep branch of ulnar nerve (C8-T1) \newline {\bf{Action:}} Flexion of the little finger at the MCP Joint} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Opponens Digiti Minimi}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610801919_IMG20210116125745.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Convexity of the hook of the hamate + flexor retinaculum \newline {\bf{Insertion:}} Whole length of ulnar margin of the 5th metacarpal bone and adjacent palmar surface \newline {\bf{Nerve:}} Deep branch of the ulnar nerve (C8-T1) \newline {\bf{Action:}} Flexion of the 5th metacarpal + assists in opposition} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592680389_opponmse.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Palmar Interossei}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802008_IMG20210116125909.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Palmar surfaces of metacarpal bones \newline {\bf{Insertion:}} Bases of proximal phalanges \newline {\bf{Nerve:}} Deep branch of the ulnar nerve (C8-T1) \newline {\bf{Action:}} Adduction of the fingers - grip} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Dorsal Interossei}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802108_IMG20210116130045.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Metacarpals \newline {\bf{Insertion:}} Proximal phalanges + extensor expansion \newline {\bf{Nerve:}} Deep branch of ulnar nerve C8-T1 \newline {\bf{Action:}} Abduction of the fingers - grip} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Lumbricals}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802252_IMG20210116130224.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Flexor digitorum profundus (radial side) \newline {\bf{Insertion:}} Extensor expansion \newline {\bf{Nerve:}} 1st and 2nd - median nerve (C8-T1), 3rd and 4th - Deep terminal branch of the ulnar nerve (C8-T1) \newline {\bf{Action:}} Flexion of MCP joints while extending both interphalangeal joints of the digit - upstroke in writing} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Hypothenar and Interrossei palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802279_IMG20210116130306.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Finger muscle Relaxation Exercise}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Good for patient's having problems with overactivated finger flexors by prolonged gripping} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Advice: Relax grip frequently \{\{nl\}\} Pronate hand rather than hold in supination \{\{nl\}\} Frequently stretch the flexor muscles} \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- TrPs can be treated by exercises: \{\{nl\}\} Artisan's stretch and finger flutter \{\{nl\}\} Passive finger extension exercise \{\{nl\}\} Interosseous muscle stretch} \tn % Row Count 9 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Exercises}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593009694_exers.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \end{document}