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Living with Contractures-developmental delay-Pierre Robin syndrome

A rare genetic syndrome with a small jaw and cleft palate, tight joints, and developmental delay.

Understanding Contractures-developmental delay-Pierre Robin syndrome

Contractures-developmental delay-Pierre Robin syndrome is a rare genetic syndrome that combines Pierre Robin sequence with tight joints and developmental delay.

Pierre Robin sequence means a small lower jaw, a tongue that sits far back, airway blockage, and a U-shaped cleft in the soft palate. Other features vary and can include clubfoot, long slender fingers, fused forearm bones, severe hip dysplasia, heart differences, and eye differences. It starts during pregnancy and in newborns.

Signs & symptoms

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

  • Small lower jaw (micrognathia)
  • Cleft palate
  • Tongue that sits far back (glossoptosis)
  • Clubfoot
  • Hip dysplasia
  • Delayed speech and movement skills

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 brain and nervous system specialists, ear, nose, and throat specialists and genetic specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 Chromosome Disorder Outreach and other patient organizations
  • 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
How can we protect my child's airway and feeding?
Should the heart, eyes, and spine be checked?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD says changes in genes cause this condition. It doesn't name a gene.

GeneticNeurological

Also known as: 5q23 microdeletion syndrome; joint contractures, developmental delay, pierre robin syndrome

Patient organizations

Source: NIH GARD · Contractures-developmental delay-Pierre Robin syndromeGARD ID 21816 · 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 Contractures-developmental delay-Pierre Robin syndrome.

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