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Living with Otoonychoperoneal syndrome

A rare genetic condition with ear, nail, and bone differences, including a small or missing fibula.

Understanding Otoonychoperoneal syndrome

Otoonychoperoneal syndrome is a rare genetic condition with differences of the ears, nails, and bones.

People have unusually shaped outer ears, underdeveloped nails, and varied bone differences, such as a small or absent fibula (a lower leg bone), shoulder and collarbone differences, and clubfoot. Joint contractures and mild facial differences are also reported. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

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

  • Unusually shaped, large ears
  • Nail differences
  • Joint contractures (joints that can't fully straighten)
  • Skin web behind the knee (popliteal pterygium)
  • Long, narrow head
  • Mild intellectual disability

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, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Children's Skin Disease Foundation
  • 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
Which orthopedic care can help with the leg and foot differences?
Should hearing be tested?
Would genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticSkin

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Otoonychoperoneal syndromeGARD ID 4170 · 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 Otoonychoperoneal syndrome.

Explore the Otoonychoperoneal syndrome blog

Explore research for Otoonychoperoneal syndrome

Explore actively recruiting Otoonychoperoneal syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Otoonychoperoneal syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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