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Living with Brachydactyly-syndactyly syndrome

A rare genetic condition with short finger and toe bones and joined toes.

Understanding Brachydactyly-syndactyly syndrome

Brachydactyly-syndactyly syndrome, Zhao type, is a rare genetic condition with short finger and toe bones and joined (webbed) toes.

The middle bones of the 2nd and 5th fingers are short, and the middle bones of toes 2 to 5 are missing. The 2nd and 3rd toes are joined. Hand and foot bones are also often different. It can be seen in newborns and infants.

Signs & symptoms

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

  • Short middle bone of the index and little fingers
  • Joined toes (toe syndactyly)
  • Short 5th hand and foot bones
  • Bunion (hallux valgus)

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. Consider genetic testing

    Changes in HOXD13 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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
Can HOXD13 gene testing confirm the diagnosis?
Would any treatment help with toe or foot function?
Should other family members be checked?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesHOXD13

Changes in the HOXD13 gene cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

Genetic

Also known as: bdsd; brachydactyly-syndactyly, zhao type

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Brachydactyly-syndactyly syndromeGARD ID 16821 · 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-syndactyly syndrome.

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