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Living with Coxopodopatellar syndrome

A rare genetic condition (small patella syndrome) with very small or missing kneecaps and hip and foot bone differences.

Understanding Coxopodopatellar syndrome

Coxopodopatellar syndrome, also called small patella syndrome (SPS), is a rare genetic condition that mainly affects how certain bones form.

People usually have very small kneecaps or none at all. The hip bones may be weak and the foot bones may not form correctly. Sometimes the bones in the face are affected. It is suspected from an exam and X-rays, and genetic testing can confirm it. It starts in newborns and infants.

Signs & symptoms

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

  • Small or missing kneecaps
  • Hip dysplasia
  • Pelvic bone differences
  • Foot bone differences
  • Knee problems

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 TBX4 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

    TBX4Life may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: TBX4Life
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 TBX4Life
  • 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 TBX4 gene testing help confirm the diagnosis?
How might the hip, knee, and foot differences affect walking?
Which specialists, such as an orthopedic doctor, should be involved?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesTBX4

It is caused by changes in the TBX4 gene. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Genetic

Also known as: congenital coxa vara, patella aplasia and tarsal synostosis; ischiocoxopodopatellar syndrome; ischiocoxopodopatellar syndrome with or without pulmonary arterial hypertension; ischiopatellar dysplasia; patella aplasia, coxa vara, and tarsal synostosis; scott taor syndrome

Patient organizations

  • TBX4LifeCoxopodopatellar syndrome · United States
Source: NIH GARD · Coxopodopatellar syndromeGARD ID 3030 · 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 Coxopodopatellar syndrome.

Explore the Coxopodopatellar syndrome blog

Explore research for Coxopodopatellar syndrome

Explore actively recruiting Coxopodopatellar syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Coxopodopatellar syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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