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Living with Brachydactyly-long thumb syndrome

A rare syndrome with short fingers, long thumbs, and an enlarged heart, noted in newborns and infants.

Understanding Brachydactyly-long thumb syndrome

Brachydactyly-long thumb syndrome is a rare heart-hand syndrome with short fingers (brachydactyly), long thumbs, and an enlarged heart (cardiomegaly).

Heart conduction (electrical signal) problems may also be present. Shoulders can be narrow with limited rotation, and the limbs, hands, and feet can be mildly short. No new reports have appeared since 1981.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on the summary, these are the main features:

  • Short fingers (brachydactyly)
  • Long thumbs
  • Enlarged heart (cardiomegaly)
  • Heart electrical signal problems
  • Limited shoulder rotation
  • Small hands and feet

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, genetic specialists and heart and blood vessel 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); Heart and blood vessel specialists (cardiologists)
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 heart tests should be done and how often?
Is genetic testing available for this condition?
Which specialists (heart, hand) should be involved?

Quick facts

Symptoms usually startNewborn 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 long thumb type; brachydactyly, long thumb type; long thumb brachydactyly syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Brachydactyly-long thumb syndromeGARD ID 968 · 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-long thumb syndrome.

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