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Living with Osteogenesis imperfecta type I

The mildest form of osteogenesis imperfecta, with bone fractures in childhood and a blue-gray tint to the whites of the eyes.

Understanding Osteogenesis imperfecta type I

Osteogenesis imperfecta type I is the mildest form of osteogenesis imperfecta, a group of genetic disorders that mainly affect the bones.

Fractures during childhood and adolescence often result from minor injuries, and occur less often in adulthood. People often have a blue or gray tint to the whites of the eyes and may develop hearing loss in adulthood. They are usually of normal or near normal height. GARD lists childhood as the usual onset.

Signs & symptoms

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

  • Repeated fractures
  • Increased susceptibility to fractures
  • Blue-gray tint to the whites of the eyes
  • Very flexible finger joints
  • Hip dysplasia

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in COL1A1 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

    Osteogenesis Imperfecta Foundation and Children's Brittle Bone Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Osteogenesis Imperfecta Foundation, Children's Brittle Bone Foundation
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 Osteogenesis Imperfecta Foundation 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
How can I lower the chance of fractures?
How often should my hearing be checked as an adult?
Would COL1A1 genetic testing help my children or relatives?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesCOL1A1

Most cases are caused by changes in the COL1A1 gene, which reduce the amount of type I collagen the body makes. It is inherited in an autosomal dominant way, meaning one changed copy of the gene can be enough.

Genetic

Also known as: adair-dighton syndrome; classic non-deforming osteogenesis imperfecta with blue sclerae; col1a1-related osteogenesis imperfecta; lobstein's disease; mild osteogenesis imperfecta; non-deforming osteogenesis imperfecta

Patient organizations

Source: NIH GARD · Osteogenesis imperfecta type IGARD ID 8694 · 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 Osteogenesis imperfecta type I.

Explore the Osteogenesis imperfecta type I blog

Explore research for Osteogenesis imperfecta type I

Explore actively recruiting Osteogenesis imperfecta type I studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Osteogenesis imperfecta type I 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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