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Any suspected side effects from hydroxocobalamin injections should be reported via the MHRA Yellow Card scheme (available at yellowcard.mhra.gov.uk)

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The condition is more prevalent in males and presents as insidious onset pain at the proximal insertion site of the quadriceps tendon over the patella (20% of cases), pain at the inferior pole of the patella (70% of cases), or less commonly, pain at the tibial tuberosity (10%), which may increase during physical activity and digital pressure [4,5,6]