Case: Isolated popliteus tendon avulsion is an extremely rare injury with no consensus in the literature, regarding the therapeutic approach. In our case, the patient presented with rotational instability of the knee, and he was treated surgically. A fully arthroscopic technique with suture anchors was used, and this is the first report of such a repair in the literature. Knee stability was successfully restored, and the patient remains asymptomatic 2 years postoperatively. Conclusion: Isolated popliteus tendon avulsion can result in knee instability. Arthroscopic repair with suture anchors is an efficient way of treatment.

Background: Rehabilitation after anterior cruciate ligament (ACL) reconstruction in adolescents needs to account for skeletal maturity, functional recovery and activity demands. In adolescents with intellectual developmental disorder (IDD), limitations in intellectual and adaptive functioning may also influence communication and motor learning. Evidence describing ACL reconstruction and postoperative rehabilitation in this population is limited. Methods: This retrospective case series included three male adolescents aged 12–14 years with mild IDD, coexisting anxiety disorder and persistent symptomatic ACL instability after unsuccessful conservative treatment. All underwent transphyseal all-inside ACL reconstruction combined with lateral extra-articular tenodesis (LET). Postoperative rehabilitation retained usual adolescent ACL rehabilitation goals, while instruction, supervision and session management were adapted to individual cognitive and behavioural needs. Rehabilitation was supported by caregivers and a physiotherapist within the residential facility. Results: Follow-up was 36, 52 and 43 months. Lysholm scores improved from 67 to 100, 55 to 100 and 69 to 96, while IKDC scores improved from 65.5 to 100, 54.0 to 100 and 67.8 to 94.2. Tegner activity level remained 5 in all patients. Instrumented anterior laxity decreased from 10 to 1 mm, 7 to 1 mm and 7 to 0 mm, while pivot-shift grades improved to 0 in all cases. No complications or reinjuries were recorded. Conclusions: In these three adolescents with mild IDD, ACL reconstruction followed by adapted rehabilitation was associated with sustained knee stability and favourable functional outcomes. Rehabilitation goals were retained while communication, delivery and supervision were adjusted to the individual patient.

Objective: To evaluate the effects of a 6-month supervised multicomponent telerehabilitation programme combining Pilates-based therapeutic exercise and self-myofascial release on fibromyalgia impact, sleep quality, and psychological outcomes. Design: Two-arm, parallel-group randomized controlled trial. Subjects/Patients: 68 adults with fibromyalgia confirmed according to the 2016 ACR criteria. Methods: Participants were randomized to a 6-month supervised home-based telerehabilitation programme (n = 35) or usual care (n = 33). The intervention comprised 3 live online sessions weekly combining Pilates-based therapeutic exercise, self-myofascial release, core stabilization, low-load resistance exercise, stretching, and relaxation. Outcomes were assessed at baseline, 3 months, and 6 months using validated patient-reported measures. Results: Significant group-by-time interactions were observed for fibromyalgia impact (p < 0.001, partial η2 = 0.132), sleep quality (p < 0.001, partial η2 = 0.129), depressive symptoms (p = 0.002, partial η2 = 0.129), and perceived stress (p = 0.028, partial η2 = 0.065), but not for anxiety (p = 0.701). Mean intervention adherence was 87.5%, with no adverse or serious adverse events reported in either group. Conclusion: 6 months of supervised multicomponent telerehabilitation produced favourable longitudinal changes in fibromyalgia impact, sleep quality, depressive symptoms, and perceived stress compared with usual care.