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Living with Congenital contractural arachnodactyly

A genetic condition with tall height, long slender fingers and toes, bent joints and sometimes a curved spine.

Understanding Congenital contractural arachnodactyly

Congenital contractural arachnodactyly is a genetic condition that affects many parts of the body, especially the bones and joints.

People are typically tall with long limbs and long, slender fingers and toes. They often have permanently bent joints that limit movement in the hips, knees, ankles or elbows. Other features include a rounded, curved upper back, crumpled-looking ears and a protruding chest. Heart differences are rare. It is seen in newborns.

Signs & symptoms

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

  • Tall height with long limbs
  • Long, slender fingers and toes (arachnodactyly)
  • Permanently bent joints (contractures)
  • Curved spine (kyphoscoliosis)
  • Crumpled-looking ears
  • Protruding chest (pectus carinatum)

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 autoimmune and inflammatory disease specialists, bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in FBN2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    The Marfan Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: The Marfan Foundation
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 The Marfan Foundation
  • 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
Should we have genetic testing for the FBN2 gene?
Do I need heart checks, such as an echocardiogram?
What therapy can help with joint movement and the spine?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesFBN2

It is caused by changes in the FBN2 gene. It is autosomal dominant, so one changed copy of the gene is enough to cause it.

Genetic

Also known as: arthrogryposis, distal, type 9; beals hecht syndrome; beals syndrome; beals-hecht syndrome; cca; cca - congenital contractural arachnodactyly

Patient organizations

Source: NIH GARD · Congenital contractural arachnodactylyGARD ID 5899 · 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 Congenital contractural arachnodactyly.

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