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Living with Adactylia, unilateral

A rare condition present at birth in which the ends of the fingers (not the thumb) are missing on one hand.

Understanding Adactylia, unilateral

Adactylia, unilateral is a rare limb difference in which the ends of digits 2 to 5 are missing on one hand.

It is non-syndromic, which means it doesn't come with a group of other conditions. The thumb is mildly small, and small nail remnants may be on the finger stumps. The hand bones (metacarpals) may be shorter. It is present from pregnancy or at birth.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short thumb
  • Short nails
  • Short hand bones (metacarpals)
  • Abnormally shaped hand bones
  • Extra bone at the end of the little finger

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which hand and finger functions can be supported with therapy?
Does this run in families, and should others be tested?
Which specialists, such as a hand surgeon, should we see?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

GARD lists autosomal dominant inheritance, which means a changed copy of a gene from one parent can be enough. It doesn't name a gene.

Genetic

Also known as: adactylia unilateral; adactyly of hand, unilateral; congenital absence/hypoplasia of fingers excluding thumb, unilateral; digits 2-5 hypodactyly, unilateral; digits 2-5 oligodactyly, unilateral; terminal transverse defects of hand, unilateral

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Adactylia, unilateralGARD ID 377 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Adactylia, unilateral.

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  • Eligibility is confirmed by the study team

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