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Anterior cruciate ligament (ACL) tears are commonly seen injuries in sports traumatology. 1) Arthroscopic ACL reconstruction (ACLR) is considered the standard of care for patients with ACL tears with instability. 2-4) The aim of ACLR is to restore the preinjury level of function, which is a challenging task. 5,6) The good functional outcome after ACLR depends upon multiple factors, which can be divided into extrinsic and intrinsic factors. 7) The extrinsic factors include the type of graft used, surgical technique, and preoperative and postoperative rehabilitation. The intrinsic factors are various, including the genetic and biological factors, type of tear, associated injuries, motivation, and psychological attitude. 7-10) Pain and swelling of the knee joint are the initial symptoms of an acute ACL injury, whereas instability of

Myoedema is an under-recognised neurological sign that can help the bedside diagnosis of metabolic or endocrine myopathies. Myoedema together with pseudo-hypertrophy make a likely diagnosis of hypothyroid myopathy, and its identification may avoid unnecessary investigations.

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