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Living with Multiple congenital exostosis

An inherited condition (hereditary multiple osteochondromas) with several noncancerous bone growths that can affect growth and movement.

Understanding Multiple congenital exostosis

Multiple congenital exostosis, also called hereditary multiple osteochondromas, is a condition in which people develop several noncancerous bone growths called osteochondromas.

They are not present at birth, but about 96 percent of affected people have them by age 12. They form at the ends of long bones and on flat bones such as the hip and shoulder blade. They can disrupt bone growth, causing short stature, uneven limb lengths, forearm or ankle bowing, and hip problems. They may also cause pain, limited joint movement, and pressure on nerves or blood vessels. GARD notes a small chance (1 in 20 to 1 in 200) that one becomes cancerous.

Signs & symptoms

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

  • Multiple bone growths (osteochondromas)
  • Short stature
  • Bowed forearm bones and uneven limb lengths
  • Pain
  • Limited joint movement
  • Knee and thighbone differences

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, cancer 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); Cancer specialists (oncologists); 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 and other patient organizations
  • 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
Can genetic testing confirm this diagnosis?
When should a growth be checked or removed?
How often should bones be monitored for changes?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is autosomal dominant, which means a changed copy of the gene from one parent can be enough to cause it.

GeneticInherited Metabolic

Also known as: bessel-hagen disease; diaphyseal aclasia; exostoses, multiple; ext; hereditary multiple exostoses; hereditary multiple exostosis

Patient organizations

Source: NIH GARD · Multiple congenital exostosisGARD ID 7035 · 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 Multiple congenital exostosis.

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Explore actively recruiting Multiple congenital exostosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Multiple congenital exostosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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