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Other established risk factors include: Hyperlipidemia Metabolic syndrome Obesity Atrial fibrillation Chronic kidney disease Sedentary lifestyle Sleep disorders, particularly obstructive sleep apnea Sleep disorders may contribute to CSVD through intermittent hypoxia, sympathetic activation, endothelial dysfunction, and impaired glymphatic clearance

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The patellar tendon together with the quadriceps muscle, quadriceps tendon, patella, and its surrounding tissue (retinacula) make up the extensor mechanism of the knee