Answer:
The correct answer is - present at birth.
Step-by-step explanation:
Congenital musculoskeletal disease is a defect that occurs before birth in a baby or fetus during pregnancy where bone or muscles are affected or not grows properly.
It can be understood by the term as well as congenital means before birth and musculoskeletal means defect in bone or muscles. The example of such defects or diseases are cleft lip or palate, or joint contractures.
Thus, the correct answer is - present at birth.