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Living with Mesomelic dysplasia, Savarirayan type

A very rare bone condition with small, triangular shin bones and missing calf bones.

Understanding Mesomelic dysplasia, Savarirayan type

Mesomelic dysplasia, Savarirayan type is a very rare bone condition marked by underdeveloped, triangular shin bones and absent calf bones.

Only two cases, which occurred by chance, have been described. Other signs include moderate shortening of the upper limb middle parts, pelvic differences, and a poorly formed shoulder socket on both sides. It starts in newborns and infants.

Signs & symptoms

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

  • Underdeveloped, triangular shin bones
  • Missing calf bones (fibulae)
  • Short stature
  • Short middle sections of limbs (mesomelia)
  • Elbow and hip dislocation
  • Bowed long 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.

  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 leg and hip bones be managed?
Which specialists should follow growth and bones?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. GARD lists autosomal dominant inheritance, and the two cases were sporadic. No gene is named.

Genetic

Also known as: mesomelic dysplasia savarirayan type; mesomelic dysplasia with absent fibula and triangular tibia; mesomelic dysplasia with absent fibulas and triangular tibias; triangular tibia-fibular aplasia syndrome

Patient organizations

Source: NIH GARD · Mesomelic dysplasia, Savarirayan typeGARD ID 10584 · 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

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