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Living with Distal arthrogryposis type 5D

A genetic condition present at birth with stiff joints in the hands, feet, and neck, plus droopy eyelids and other body differences.

Understanding Distal arthrogryposis type 5D

Distal arthrogryposis type 5D is a rare genetic condition that causes stiff, bent joints from birth, along with droopy eyelids.

People with this condition have joints that are stiff and bent, mainly in the hands, feet, ankles, shoulders, or neck. Fingers may stay bent, and the knees and hips may not fully straighten. Many have a drooping eyelid on one side. Other features can include a short neck, hip dislocation present at birth, club feet, scoliosis, and short height. It is present from birth.

Signs & symptoms

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

  • Drooping upper eyelid (ptosis)
  • Hip dislocated since birth
  • Scoliosis (curved spine)
  • Short neck
  • Limited elbow and knee movement
  • Decreased muscle mass

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 ECEL1 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

    Arthrogryposis Multiplex Congenita Support Inc. 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: Arthrogryposis Multiplex Congenita Support Inc.
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 Arthrogryposis Multiplex Congenita Support Inc.
  • 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 genetic testing for the ECEL1 gene help our family?
What treatments could help with joint stiffness or club feet?
How should my child's eyes and spine be monitored?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesECEL1

GARD says changes in the ECEL1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: da5d; da5d - distal arthrogryposis type 5d; distal arthrogryposis caused by mutation in ecel1; distal arthrogryposis type 5 without ophthalmoparesis; distal arthrogryposis type 5 without ophthalmoplegia; ecel1 distal arthrogryposis

Patient organizations

Source: NIH GARD · Distal arthrogryposis type 5DGARD ID 13059 · 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 Distal arthrogryposis type 5D.

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