Overview
Hypoplastic tibiae-postaxial polydactyly syndrome is an extremely rare genetic condition that affects the development of the bones in the lower legs and the fingers or toes. The name describes its two main features: hypoplastic tibiae, meaning the shinbones (tibiae) are underdeveloped or abnormally small, and postaxial polydactyly, meaning there are extra fingers or toes on the outer (pinky) side of the hands or feet. This condition is present at birth and can significantly affect how a child's legs develop and function. Because the shinbones are underdeveloped, children with this syndrome may have shortened or bowed lower legs, which can lead to difficulty walking and problems with mobility. The extra digits may vary in size and function — some may be fully formed while others may be small skin tags. Other skeletal abnormalities may also be present in some cases. Due to the extreme rarity of this condition, there is no specific cure. Treatment is focused on managing symptoms and improving quality of life. Orthopedic surgery may be needed to address leg length differences, correct bowing of the legs, or remove extra digits. Physical therapy and assistive devices such as braces or prosthetics may help with mobility. A team of specialists typically works together to create a personalized care plan for each affected individual.
Key symptoms:
Underdeveloped or small shinbonesExtra fingers or toes on the outer side of the hand or footShortened lower legsBowed legsDifficulty walkingLeg length differencesAbnormal foot shape or positionSkeletal abnormalities of the lower limbsJoint stiffness or limited range of motion in the legs
Autosomal recessive
Passed on when both parents carry the same gene change; often skips generations
Neonatal
Begins at or shortly after birth (first 4 weeks)
Treatments
No FDA-approved treatments are currently listed for Hypoplastic tibiae-postaxial polydactyly syndrome.
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Specialists
View all specialists →No specialists are currently listed for Hypoplastic tibiae-postaxial polydactyly syndrome.
Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to Hypoplastic tibiae-postaxial polydactyly syndrome.
Community
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Caregiver Resources
NORD Caregiver Resources
Support, advocacy, and financial assistance for caregivers of rare disease patients.
Mental Health Support
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Family & Caregiver Grants
Financial assistance programs specifically for caregivers of rare disease patients.
Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.How severe is the underdevelopment of my child's shinbones, and what does that mean for walking?,Will my child need surgery, and if so, how many procedures might be expected over time?,What physical therapy or rehabilitation will be needed?,Should we pursue genetic testing, and what might it tell us?,What assistive devices or braces would help my child the most?,Is there a risk of this condition occurring in future pregnancies?,Are there any clinical trials or research studies we should know about?
Common questions about Hypoplastic tibiae-postaxial polydactyly syndrome
What is Hypoplastic tibiae-postaxial polydactyly syndrome?
Hypoplastic tibiae-postaxial polydactyly syndrome is an extremely rare genetic condition that affects the development of the bones in the lower legs and the fingers or toes. The name describes its two main features: hypoplastic tibiae, meaning the shinbones (tibiae) are underdeveloped or abnormally small, and postaxial polydactyly, meaning there are extra fingers or toes on the outer (pinky) side of the hands or feet. This condition is present at birth and can significantly affect how a child's legs develop and function. Because the shinbones are underdeveloped, children with this syndrome ma
How is Hypoplastic tibiae-postaxial polydactyly syndrome inherited?
Hypoplastic tibiae-postaxial polydactyly syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does Hypoplastic tibiae-postaxial polydactyly syndrome typically begin?
Typical onset of Hypoplastic tibiae-postaxial polydactyly syndrome is neonatal. Age of onset can vary across affected individuals.