What other musculoskeletal problems are increased in patients on dialysis?
- • Erosive osteoarthritis.
- • Tendinitis and tendon ruptures (quadriceps, patellar, Achilles, triceps, finger extensors): attributable to secondary hyperparathyroidism.
- • Osteonecrosis (avascular necrosis): does not improve with core decompression.
- • Osteopenia: especially after renal transplantation. Note that FRAX risk calculation is doubled if patient’s GFR is <30 mL/minute. Bone turnover markers (CTX, NTX) cannot be followed as they are cleared by the kidney and will be falsely elevated.
- • Nephrogenic systemic fibrosis
