Abstract

IntroductionCongenital absence of the cruciate ligaments is very rare condition. Its association with congenital abnormalities of the spine, knee and hip, has been rarely reported. Most of the case reports were mostly reported before adolescence, so reports of the progression of this congenital disease at old age were extremely rare. Presentation of caseA 65-year-old woman had a 7-year history of both knee and hip pain. On physical examination, valgus and varus instability on both knees and painful limitation of motion in both hip joints were observed. Radiography and magnetic resonance imaging showed the absence of the anterior cruciate ligament with osteoarthritis on both knees and hip osteoarthritis. Total knee and hip arthroplasties were performed on both knee joints and total hip arthroplasty. The pain and instability of both knees and hips were lost for follow up of more than a year, and the patient is doing well in daily life. DiscussionCongenital absence of cruciate ligament may progress to osteoarthritis, do early detection and proper management is needed. In the treatment of older aged patients. Reports of treatment for this disorder are also very rare in older age. In old age, arthroplasty can be a useful treatment when the severe osteoarthritis is accompanied by instability. ConclusionSince the congenital absence of the ACL in old age could lead to hip and knee osteoarthritis, periodic follow-up is necessary and arthroplasty can be a useful treatment when the severe osteoarthritis is accompanied by instability.

Highlights

  • Congenital absence of the cruciate ligaments is very rare condition

  • In type II, the ACL aplasia was accompanied by hypoplasia of the posterior cruciate ligament (PCL)

  • The aforementioned classification did not include the accompanying presence or degree of osteoarthritis since most congenital absences of ACL were found before adolescence

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Summary

INTRODUCTION

Congenital absence of the cruciate ligaments is very rare condition. Most of the case reports were mostly reported before adolescence, so reports of the progression of this congenital disease at old age were extremely rare. Radiography and magnetic resonance imaging showed the absence of the anterior cruciate ligament with osteoarthritis on both knees and hip osteoarthritis. DISCUSSION: Congenital absence of cruciate ligament may progress to osteoarthritis, do early detection and proper management is needed. Reports of treatment for this disorder are very rare in older age. Arthroplasty can be a useful treatment when the severe osteoarthritis is accompanied by instability. CONCLUSION: Since the congenital absence of the ACL in old age could lead to hip and knee osteoarthritis, periodic follow-up is necessary and arthroplasty can be a useful treatment when the severe osteoarthritis is accompanied by instability

Introduction
Case report
Discussion
Conclusion
Ethical approval
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