A member asked:

Is it possible to just not have an acl?

3 doctors weighed in across 3 answers

Yes: Agenesis or congenital absence of the ACL has been described in patients who are born without an acl. It is rare and may be associated with absence of a meniscus, limb length discrepancy. Typically the patients have symptomatic instability causing them to seek care, which usually requires surgical ACL reconstruction.

Answered 12/21/2018

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Rare: It is possible but this would be a congenital abnormality and very rare.

Answered 10/3/2016

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Dr. answered

Extremely rare: Very few cases have ever been identified of patients born without an ACL. It is more common to have an ACL removed after a traumatic incident - some of these patients have continued playing competitive sports with ACL focusing on strengthening the other supporting muscles and ligaments instead to stabilise the knee

Answered 12/21/2018

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