Overview
Hyperphalangy, bilateral is an extremely rare skeletal condition in which one or more fingers or toes have extra small bones (called phalanges) in them. Normally, the thumb and big toe have two phalanges each, while the other fingers and toes have three. In this condition, affected digits have more phalanges than expected, and this occurs on both sides of the body (bilateral). It is important to note that this entry is classified as 'OBSOLETE' in the Orphanet database, meaning it may have been reclassified, merged with another condition, or is no longer considered a distinct diagnosis. The extra bones may cause the affected fingers or toes to appear longer or to function differently. In many cases, the condition may be noticed at birth or during childhood when hand or foot X-rays are taken. Because this is an extremely rare and now-obsolete classification, there is very limited information about its specific cause, treatment, or long-term outlook. Patients who have been given this diagnosis should work with a clinical geneticist and an orthopedic specialist to determine whether a more current diagnostic classification applies to their condition. Treatment, when needed, is generally supportive and may include occupational therapy or, in rare cases, surgical correction if the extra bones cause functional problems.
Also known as:
Key symptoms:
Extra bones in the fingers or toesFingers or toes that appear longer than normalStiffness in affected fingers or toesReduced range of motion in affected digitsUnusual appearance of hands or feet on both sides of the body
Variable
Can be inherited in different ways depending on the underlying gene
Neonatal
Begins at or shortly after birth (first 4 weeks)
Treatments
No FDA-approved treatments are currently listed for OBSOLETE: Hyperphalangy, bilateral.
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Specialists
View all specialists →No specialists are currently listed for OBSOLETE: Hyperphalangy, bilateral.
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 OBSOLETE: Hyperphalangy, bilateral.
Community
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Caregiver Resources
NORD Caregiver Resources
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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.Is this diagnosis still considered current, or has it been reclassified under a different condition?,Could this be part of a larger genetic syndrome?,Should my child have genetic testing to look for an underlying cause?,Will the extra bones cause any problems with hand or foot function over time?,Is occupational therapy recommended for my child?,Are there any surgical options if the extra bones cause problems?,Should other family members be evaluated?
Common questions about OBSOLETE: Hyperphalangy, bilateral
What is OBSOLETE: Hyperphalangy, bilateral?
Hyperphalangy, bilateral is an extremely rare skeletal condition in which one or more fingers or toes have extra small bones (called phalanges) in them. Normally, the thumb and big toe have two phalanges each, while the other fingers and toes have three. In this condition, affected digits have more phalanges than expected, and this occurs on both sides of the body (bilateral). It is important to note that this entry is classified as 'OBSOLETE' in the Orphanet database, meaning it may have been reclassified, merged with another condition, or is no longer considered a distinct diagnosis. The ext
At what age does OBSOLETE: Hyperphalangy, bilateral typically begin?
Typical onset of OBSOLETE: Hyperphalangy, bilateral is neonatal. Age of onset can vary across affected individuals.