\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 (neck-muscles.pdf) /Creator (Cheatography) /Author (Siffi (Siffi)) /Subject (Neck 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}{5FA391} \definecolor{LightBackground}{HTML}{F5F9F8} \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{Neck Muscles Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/23318/}}} \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 16th January, 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}{Splenius Capitus}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610806551_IMG20210116141516.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Mastoid process \newline {\bf{Insertion:}} Tips of the SP of 7th Cx vertebra \newline {\bf{Nerve:}} Lateral branches of the second and third Cx dorsal Rami \newline {\bf{Action:}} Ipsilateral rotation - bilaterally extends the head} \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}{Splenius Capitis - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610806667_IMG20210116141436.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Get patient to extend head slightly to locate border of the traps \newline - Just lateral to the border of the traps lies Splenius Cap \newline - Get pt to rotate head towards since of palpation - muscle should contract} \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_1592314955_aplenpng.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Causes Headaches \newline - Associated with C2 manipulable lesions} \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}{Splenius Cervicis}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Origin:}} TVPs of atlas and TVPs of the axis and posterior tubercle of the third cx vertebrae} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Insertion:}} 3rd-6th Tx SP} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Nerve:}} Lateral Branches of the lower cx dorsal rami} \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Action:}} Ipsilateral rotation of upper cx spine - bilaterally extends upper cx} \tn % Row Count 7 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Cervix = neck (Latin)} \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_1592317423_spelnsu ca.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Main muscle affected in Whiplash (Along with SCM) \newline - Causes Headaches} \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}{Levator Scapulae}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610807519_IMG20210116142953.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} TVPs of the atlas and axis + Posterior tubercles of the TVP of the 3rd and 4th cx \newline {\bf{Insertion:}} Medial end of scapular spine \newline {\bf{Nerve:}} Branches of 3rd and 4th Cx spine nerves + 5th Cx nerve - Dorsal Scapular Nerve \newline {\bf{Action:}} Rotation of the scapula - depresses shoulder Ipsilateral + lateral flexion of the cx} \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}{LS - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610807593_IMG20210116143005.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Just off superior angle of the scapula \newline - Should feel ropy, deep to the traps} \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_1592322875_LS.png}}} \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}{Suboccipitals}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Rectus Capitis Posterior Major:}} \{\{nl\}\} {\bf{Origin:}} Spine of the axis \{\{nl\}\} {\bf{Insertion:}} Lateral part of inferior nuchal line and the occupital bone} \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Rectus Capitis Posterior Minor:}} \{\{nl\}\} {\bf{Origin:}} Tubercle on the posterior arch of the atlas \{\{nl\}\} {\bf{Insertion:}} Medial part of inferior nuchal line and occupital bone - Can be attached to the posterior atlanto-occipital membrane} \tn % Row Count 9 (+ 5) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Obliquus Capitis Inferior:}} \{\{nl\}\} {\bf{Origin:}} Lateral surface of the spine + adjacent upper part of the lamina \{\{nl\}\} {\bf{Insertion:}} Inferoposterior aspect of the TVP of the atlas} \tn % Row Count 13 (+ 4) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Obliquus Capitis Superior:}} \{\{nl\}\} {\bf{Origin:}} Upper surfaces of the TVP of the atlas \{\{nl\}\} {\bf{Insertion:}} Occupital bone} \tn % Row Count 16 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Nerve:}} Dorsal ramus of the 1st Cx nerve} \tn % Row Count 17 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Action:}} Extension and ipsilateral rotation of the head} \tn % Row Count 19 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Suboccipitals}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592924897_sdubsdas.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}{Suboccpitals - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610807947_IMG20210116143658.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}{Trps}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592330002_sdasfffd.png}}} \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}{Semispinalis Capitis}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Origin:}} Medial part of the area between superior and inferior nuchal lines of the occupital bones} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Insertion:}} Superior articular Processes of the lower 4 Cx Vb + Tips of the TVPs of the upper 6 or 7 Tx} \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Nerve:}} Descending branches of the greater occipital nerve C2 + third Cx nerve C3} \tn % Row Count 8 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Action:}} Extension of the head} \tn % Row Count 9 (+ 1) \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_1592334204_semspina.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{Can Trap the Greater Occipital Nerve when hypertonic} \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}{Semispinalis Cervicis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610808215_IMG20210116144226.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} SP of 2-5th Cx VB \newline {\bf{Insertion:}} Upper five/six Tx TVP \newline {\bf{Nerve:}} Medial branches of the dorsal rami of adjacent spinal nerves \newline {\bf{Action:}} Extension of the neck} \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}{Longus Capitis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610808465_IMG20210116144644.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Posterior Edge of the mastoid process \newline {\bf{Insertion:}} TVPs of lower 3 or 4 cx and upper 4 Tx \newline {\bf{Nerve:}} Segmental Supply from the lateral branches of the dorsi rami \newline {\bf{Action:}} \seqsplit{Stabilisation/proprioceptive} role} \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}{Trp}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{} \tn % Row Count 0 (+ 0) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Below and Behind the ear + periorbital region} \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}{Sternocleoidomastoid (SCM)}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Origin:}}\{\{nl\}\} {\bf{Medial:}} Upper part of the anterior surface of the manubrium and sterni \{\{nl\}\} {\bf{Lateral head:}} Superior surface of the medial third of clavicle} \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Insertion:}} Lateral surface of mastoid process} \tn % Row Count 5 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Nerve:}} Spinal part of accessory nerve, branches from the ventral rami of 2nd, 3rd and sometimes 4th Cx nerves} \tn % Row Count 8 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Action:}} Tilts head towards ipsilateral shoulder, rotates the head (turns the face to the opposite side). From below, SCM draws the head forwards and raises head when the body is supine. When head is fixed, SCM helps elevates the tx in forced inspiration} \tn % Row Count 14 (+ 6) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Torticollis} \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}{Trp}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592335273_scm.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Important for Whiplash \newline - A big cause of myogenic headaches} \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}{Longus Colli}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610808506_IMG20210116144650.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}{Longus Colis}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Origin:}} Anterior surface of the vertebral column between 2nd and 3rd Tx \{\{nl\}\} {\bf{Inferior oblique:}} Front of the Vb of the first two or three Tx vertebra {\bf{Insertion:}} Anterior tubercles of the TVPs of the 5th and 6th Cx \{\{nl\}\} {\bf{Superior Oblique:}} Anterior tubercles of the TVPs of the 3rd, 4th, 5th Cx vertebral {\bf{Insertion:}} Anterolateral surface of the rubercle on the anterior arch of the atlas. \{\{nl\}\} {\bf{Vertical Intermediate:}} Fronts of the bodies of the upper three tx and lower three Cx vertebrae {\bf{Insertion:}} Fronts of the bodies of the second, third and fourth Cx VB} \tn % Row Count 12 (+ 12) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Nerve:}} Branches from the ventral rami of the second, third, fourth, fifth and sixth Cx spinal nerves} \tn % Row Count 15 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Action:}} Flexion and assists in lateral flexion} \tn % Row Count 16 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Also affected in whiplash (rear end) \newline - Can be affected by calcific tendinitis - neck pain, stiffness, dysphagia and odynophagia (MRI/CT needed) - Treated by NSAIDs} \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}{Scalanes}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610808904_scalens.png}}} \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}{Scalenes}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Scalenus Anterior:}} \{\{nl\}\} {\bf{Origin:}} Anterior tubercles of the TVP of the 3-6th Cx \{\{nl\}\} {\bf{Insertion:}} Scalene Tubercle on the inner border of the First rib + ridge on the upper surface of the rib, anterior to the groove for the subclavian artery \{\{nl\}\} {\bf{Nerve:}} Branches of the Ventral Rami of the 4-6th Cx spinal nerves \{\{nl\}\} {\bf{Action:}} Lateral Flexion of the cx and elevation of first rib - respiration} \tn % Row Count 9 (+ 9) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Scalenus Medius:}} \{\{nl\}\} {\bf{Origin:}} Above the TVP of the axis and front of the posterior tubercles of the TVP of the lower 5 Cx, extends to the TVP of the atlas. \{\{nl\}\} {\bf{Insertion:}} Upper surface of the first rib \{\{nl\}\} {\bf{Nerve:}} Branches of the ventral rami of the 3-8th Cx spinal nerves \{\{nl\}\} {\bf{Action:}} Lateral flexion of the Cx and elevation of the first rib - respiration} \tn % Row Count 17 (+ 8) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Scalenus Posterior:}} \{\{nl\}\}: {\bf{Origin:}} Posterior tubercles of the TVP of the 4-6th Cx \{\{nl\}\} {\bf{Insertion:}} Outer surface of the second rib \{\{nl\}\} {\bf{Nerve:}} Branches of the ventral rami of 6-8th Cx spinal nerves \{\{nl\}\} {\bf{Action:}} Lateral Flexion of the cx and elevation of the 2nd rib - respiration} \tn % Row Count 24 (+ 7) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Skalenos (Greek) = uneven \newline - A 4th Scalene can be present (Sibson's muscle) located behind lower portion of anterior scalene \newline - Brachial Plexu and subclavian artery pass through anterior and middle scalene (TOS) \newline - Subclavian vein and phrenic nerve pass anteriorly to the anterior scalene} \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}{Scalenes - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610809002_sacles pal.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}{Trps}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592337314_sdfdfs.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Rotation of head fully to side of pain + pull chin down - aggravates Trps in scalenes \newline - Scalenes Trps cannot cause headaches \newline - Mimics a disc herniation \newline - Can be extremely painful - often causes a sympathetic response} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \end{document}