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Living with Contractures, pterygia, and spondylocarpotarsal fusion syndrome 1A

A rare genetic condition with tight joints, skin webbing, fused spine bones, and short stature.

Understanding Contractures, pterygia, and spondylocarpotarsal fusion syndrome 1A

Contractures, pterygia, and spondylocarpotarsal fusion syndrome 1A is a rare genetic condition with tight joints and webs of skin across joints.

It belongs to a group called distal arthrogryposis. People have webbing (pterygia), usually at the neck, armpit, and back of the knee, joint contractures, and droopy eyelids. Fingers stay bent, spine bones are fused, and scoliosis (curved spine) can be severe. Short stature is common. It starts in childhood.

Signs & symptoms

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

  • Tight joints (contractures)
  • Skin webbing at the neck and behind the knees
  • Droopy upper eyelids (ptosis)
  • Fused spine bones
  • Curved spine (scoliosis)
  • Short stature

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 MYH3 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
Would MYH3 gene testing help our family?
How should the spine and scoliosis be monitored?
What therapies or surgery can help with joint tightness?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesMYH3

It is caused by changes in the MYH3 gene. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Genetic

Also known as: autosomal dominant multiple pterygium syndrome; contractures, pterygia, and spondylocarpostarsal fusion syndrome 1a; contractures, pterygia, and variable skeletal fusions syndrome 1a; cpsfs1a; distal arthrogryposis type 8; multiple pterygium syndrome, autosomal dominant

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Contractures, pterygia, and spondylocarpotarsal fusion syndrome 1AGARD ID 13058 · 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, pterygia, and spondylocarpotarsal fusion syndrome 1A.

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