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Living with Mesomelic dwarfism, Reinhardt-Pfeiffer type

A rare inherited bone condition with short stature from birth and differences in two lower arm and leg bones.

Understanding Mesomelic dwarfism, Reinhardt-Pfeiffer type

Mesomelic dwarfism, Reinhardt-Pfeiffer type is a rare condition with disproportionate short stature from birth and abnormal development of the ulna and fibula.

The ulna is a forearm bone and the fibula is a lower leg bone. Other features include limbs that are shorter, elbow dislocation, and skin dimples. It starts in pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Short stature with short limbs
  • Underdeveloped ulna (forearm bone)
  • Short or underdeveloped fibula (calf bone)
  • Elbow dislocation
  • Fingers bending toward the pinky side
  • 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 the elbows and legs be monitored?
Which specialists should follow growth and bones?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
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 dwarfism of hypoplastic ulna and fibula type; mesomelic dwarfism reinhardt-pfeiffer type; mesomelic dysplasia of hypoplastic ulna and fibula type; reinhardt pfeiffer mesomelic dysplasia; reinhardt pfeiffer syndrome; reinhardt-pfeiffer mesomelic dysplasia

Patient organizations

Source: NIH GARD · Mesomelic dwarfism, Reinhardt-Pfeiffer typeGARD ID 3555 · 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, Reinhardt-Pfeiffer type.

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