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Living with Ectrodactyly-polydactyly syndrome

A very rare condition with missing middle fingers or toes and an extra finger or toe on the pinky side.

Understanding Ectrodactyly-polydactyly syndrome

Ectrodactyly-polydactyly syndrome is a very rare genetic condition present at birth that affects the hands and feet.

The central digits of the hands or feet are underdeveloped or missing, and there are one or more extra digits on the outer (pinky) side. Webbing of the skin between fingers, joined finger bones, and bent fingers have also been reported. GARD notes there have been no new descriptions in the medical literature since 1982. It begins during pregnancy.

Signs & symptoms

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

  • Cleft hand (ectrodactyly)
  • Extra little finger (postaxial polydactyly)
  • Joined fingers (syndactyly)
  • Bent fingers (camptodactyly)
  • Short fingers or toes
  • Differences in hand bones

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. Ask which tests can help

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

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 genetic testing help our family?
What surgery or therapy could improve hand function?
Could this happen again in another pregnancy?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive

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

Genetic

Also known as: ectrodactyly polydactyly; ectrodactyly-polydactyly

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Ectrodactyly-polydactyly syndromeGARD ID 2068 · 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 Ectrodactyly-polydactyly syndrome.

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Explore research for Ectrodactyly-polydactyly syndrome

Explore actively recruiting Ectrodactyly-polydactyly syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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