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Living with Brachydactyly-elbow wrist dysplasia syndrome

A rare genetic condition (Liebenberg syndrome) affecting how the elbows, wrists, and hands develop.

Understanding Brachydactyly-elbow wrist dysplasia syndrome

Brachydactyly-elbow wrist dysplasia syndrome, also called Liebenberg syndrome, is a genetic condition with unusual development of the elbows, wrists, and hands.

Joint contractures (stiff, bent joints) often limit movement. The elbow bones look more like those of the knee, and wrist bones may be fused, so the hand bends toward the thumb. Fingers are usually short. People usually have no other symptoms, and the legs and feet are not affected.

Signs & symptoms

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

  • Stiff, limited elbow movement
  • Fused wrist bones
  • Short fingers or toes (brachydactyly)
  • Curved little finger (clinodactyly)
  • Elbow dislocation
  • Joint stiffness

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
Is genetic testing available to confirm the diagnosis?
Would therapy or surgery help with elbow and wrist movement?
Can relatives be affected, and should they be checked?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant

Changes in genes cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

Genetic

Also known as: brachydactyly elbow wrist dysplasia; brachydactyly with joint dysplasia; brachydactyly-joint dysplasia syndrome; liebenberg syndrome; synostosis, carpal, with dysplastic elbow joints and brachydactyly

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Brachydactyly-elbow wrist dysplasia syndromeGARD ID 966 · 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 Brachydactyly-elbow wrist dysplasia syndrome.

Explore the Brachydactyly-elbow wrist dysplasia syndrome blog

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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