\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 (lateral-and-medial-epicondylopathy.pdf) /Creator (Cheatography) /Author (Siffi (Siffi)) /Subject (Lateral \& Medial Epicondylopathy 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}{A3406E} \definecolor{LightBackground}{HTML}{F9F3F5} \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{Lateral \& Medial Epicondylopathy Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/26254/}}} \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 2nd February, 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}{p{1.727 cm} p{1.727 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Pathophysiology}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Repetitve Wrist extension causes micro tearing of CEO} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Common tendon affected is ECRB (hypovascular)} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Chronic cases- inflammatory cells are absent} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Failure of the natural healing process (angioblastic degneration)} \tn % Row Count 6 (+ 2) \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}{Demographics}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Usually in 4th/5th decade of life} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Affects men and women equally} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Most of the time it presents in dominant arm} \tn % Row Count 3 (+ 1) \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}{Risk Factors}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Repeated wrist extension and forearm supination/pronation} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Occupations/activies: carpenters, bricklayers, seamstresses, tailor, pianists, drummers, people who shake hands alot, tennis players.prolonged keyboard/mouse usage} \tn % Row Count 6 (+ 4) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Tennis rplayers - improper mechanics during backhands/serves} \tn % Row Count 8 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Ask about racquet: Heavy/new/tightly strung, excessive gripping, hitting wet/heavy tennisballs} \tn % Row Count 10 (+ 2) \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}{Presentation}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Insidious after overuse activity - usually no trauma} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Pain over lateral aspect of elbow} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Provoked by activities that involve gripping/wrist extension} \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Relieved by rest} \tn % Row Count 6 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Usually localised - but consider peripheral neuropathy (radial tunnel) if distal symptoms (nocturnal pain more common in radial tunnel than LE)} \tn % Row Count 9 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Pain on palpation of lateral epicondyle (over ECRB tendon 2nd one down)} \tn % Row Count 11 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Pain on RROM - wrist extension} \tn % Row Count 12 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- +ve Cozen's, +ve long finger extension test} \tn % Row Count 13 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Consider Anconeus TrPs} \tn % Row Count 14 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Neurological exam normal unless radial tunnel syndrome( diminished sensitivity over dorsal aspect of the forearm/thumb and weakness of thumb extension} \tn % Row Count 18 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{DASH/PRTEE} \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}{Imaging}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{Further imaging if red flags: F\# , dislocation, infection, hx of trauma, neoplasm} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{US (can reveal asymptomatic damage at ECBR) - can pick up calcific tendinitis} \tn % Row Count 4 (+ 2) \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}{DDx}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Cx radiculopathy} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Radial Tunnel syndrome} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- OA} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- F\#} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Infection} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Neoplasm} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Osteochondral loose body} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Elbow synovitis} \tn % Row Count 8 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Triceps tendinitis} \tn % Row Count 9 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Sprain/strain} \tn % Row Count 10 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Myofascial pain syndrome} \tn % Row Count 11 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- inflammatory Arthropathy} \tn % Row Count 12 (+ 1) \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}{Management}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Rest and avoidance of offending activity (wrist ext, pronation/supination)} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Ice/Ice massage} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Change mechanics (2 handed backstroke)} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- EMT/mobilisation of the elbow and wrist} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- SMT of Cx Tx} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Deep friction massage of tendon} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- STM and stretching of wrist extensors and supinator} \tn % Row Count 9 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- ECRB stretched by elbow extension, forearm pronation and wrist flexion} \tn % Row Count 11 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Slow and progressive (moderate effort and low reptitiions) - assessed by night pain (increased = load is excessive)} \tn % Row Count 14 (+ 3) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{Progression advances when patient tolerates a given level of tensile load} \tn % Row Count 16 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Resistance training - isometrically then eccentric} \tn % Row Count 18 (+ 2) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Tyler twist with theraband flexbar} \tn % Row Count 19 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Scapular stability deficits} \tn % Row Count 20 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Ultrasound treatment} \tn % Row Count 21 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Oral/topical NSAIDs} \tn % Row Count 22 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Corticosteriod injections} \tn % Row Count 23 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Surgical consideration/poor prognosis of conservative care if: failure of conservative care, heavy manual labour, LE in dominant arm, high pain perception, poor coping strats} \tn % Row Count 27 (+ 4) \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}{Medial Epicondylopathy}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Pronator teres, FCR, Palmaris Longus, FDS, FCU} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Most frequent cause of medial elbow pain} \tn % Row Count 2 (+ 1) \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}{Causes}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Repetitive flexion and pronation and valgus stress} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Injuries (trauma, excessive stretch, eccentric overload)} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Microtearing - disorganised healing process, failure to regenerate} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- FCR and pronator teres origin most commonly affected} \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Affects men and women equally \{\{nl\}\} 4th and5th decade \{\{nl\}\} Dominant arm mostly affected \{\{nl\}\} athletes (golfers - top of their back swing until ball impact, baseball players (acceleration phase of throwing), racquet sports , bowling, javelin throwing, football, archery, weight lifting} \tn % Row Count 14 (+ 6) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Occupations that require repetitive flexion and pronation} \tn % Row Count 16 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Obesity} \tn % Row Count 17 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Smoking} \tn % Row Count 18 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Type II diabetes} \tn % Row Count 19 (+ 1) \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}{Presentation}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Dull pain over medial elbow} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Grip weakness} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Swelling often present} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- TTP over \textless{}1 finger breadth distal and anterior to the centre of the medial epicondyle} \tn % Row Count 5 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Pain during resisted forearm pronation + resisted wrist flexion + resisted elbow flexion (in chronic cases)} \tn % Row Count 8 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Ulnar neuritis, Cubital tunnel syndrome and UCL instability (moving valgus stress test) must be considered} \tn % Row Count 11 (+ 3) \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}{Imaging}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Only if unresponsive to conservative care/trauma (rule out avulsion f\#)} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- MRI for stress f\#. infections, tumours, ligamentous injuries and osteochondritis dissecans} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- US for ruling in medial epicondylopathy} \tn % Row Count 5 (+ 1) \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}{DDx}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Cubital tunnel syndrome} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Little league elbow (children)} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Muscle strain} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Cx radiculopathy} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- F\#} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Infection} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Neoplasm} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Bursitis} \tn % Row Count 8 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Flexion contracture} \tn % Row Count 9 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Pronator Quadratus syndrome} \tn % Row Count 10 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Intraarticular injury} \tn % Row Count 11 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Osteochondritis dissecans} \tn % Row Count 12 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Anterior interosseous nerve entrapment} \tn % Row Count 13 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Rheumatologic disease} \tn % Row Count 14 (+ 1) \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}{Management}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Prone to recurrence, prolonged discomfort present} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Rest , ice/ice massage NSAIDs for acute cases} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- If chronic - bracings (counter force), eccentric rehab, activity modification} \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Limitation/stopping offending activity} \tn % Row Count 6 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Cock up wrist splints for night time} \tn % Row Count 7 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Myofascial/stretching of common flexor tendon} \tn % Row Count 8 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- \seqsplit{Mobilisation/manipulation} into ext if flexion contracture} \tn % Row Count 10 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- SMT/EMT of the Cx, elbow, wrist and shoulder} \tn % Row Count 11 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Moderate efforts with low reps on rehab} \tn % Row Count 12 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Stretching then strengthening} \tn % Row Count 13 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Reverse tyler twists} \tn % Row Count 14 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Surgery if unresponsive to conservative care after 3-6 months} \tn % Row Count 16 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \end{document}