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Living with Metaphyseal chondrodysplasia, Spahr type

A rare inherited bone condition with moderate short stature, increasing bowing of the legs, and a waddling walk.

Understanding Metaphyseal chondrodysplasia, Spahr type

Metaphyseal chondrodysplasia, Spahr type is a rare inherited bone condition with short stature after birth, bowed legs, and a waddling walk.

X-rays show widened, irregular bone ends. Blood tests do not show the changes seen in rickets. Intermittent knee pain, a swayed lower back, and delayed motor skills can occur. It starts in childhood.

Signs & symptoms

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

  • Short stature
  • Bowed legs that get worse over time
  • Waddling walk
  • Hip dysplasia
  • Scoliosis and swayed lower back
  • Tooth differences and cavities

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 MMP13 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

    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
Should we have MMP13 genetic testing for our family?
How should leg bowing be monitored?
What can help with knee pain and walking?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesMMP13

Changes in the MMP13 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: mdst

Patient organizations

Source: NIH GARD · Metaphyseal chondrodysplasia, Spahr typeGARD ID 3563 · 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 Metaphyseal chondrodysplasia, Spahr type.

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