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Living with Mesomelic dwarfism, Nievergelt type

A rare inherited bone condition with severely short lower limbs, unusual leg bones, and skin dimples.

Understanding Mesomelic dwarfism, Nievergelt type

Mesomelic dwarfism, Nievergelt type is a rare bone condition with severe shortening of the middle parts of the limbs, especially the legs.

The shinbones and calf bones have a triangular or diamond shape. There are bony bumps and skin dimples. The hands and feet can have differences, such as fused or webbed fingers or a clubfoot. Forearm bones can be fused and the elbow can be out of place. Facial features can differ. It starts in pregnancy and the newborn period.

Signs & symptoms

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

  • Short middle sections of limbs (mesomelia)
  • Short stature
  • Unusually shaped shin and calf bones
  • Elbow dislocation
  • Fused forearm or ankle bones
  • Bent fingers and skin dimples

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.

  4. Connect with expert centers

    Little People of America 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: Little People of America
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 Little People of America
  • 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
Is genetic testing available for this condition?
How should bone and joint problems be managed?
Which specialists should follow growth, hands, and feet?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is inherited in an autosomal dominant way, so a change in one copy of the gene can be enough.

Genetic

Also known as: mesomelic dysplasia - nievergelt type; mesomelic dysplasia, nievergelt type; nievergelt syndrome; nievergelt-erb syndrome; nievergelt's syndrome

Patient organizations

Source: NIH GARD · Mesomelic dwarfism, Nievergelt typeGARD ID 3554 · 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 Mesomelic dwarfism, Nievergelt type.

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