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Living with Otospondylomegaepiphyseal dysplasia

An inherited bone condition with short legs, severe high-pitched hearing loss, distinct facial features, and cleft palate.

Understanding Otospondylomegaepiphyseal dysplasia

Otospondylomegaepiphyseal dysplasia (OSMED) is an inherited condition with skeletal differences, distinct facial features, and severe hearing loss.

The name refers to the ears, the spine bones, and the enlarged ends (epiphyses) of long bones. It overlaps with Weissenbacher-Zweymuller syndrome and Stickler syndrome type III, which involve the same gene. People are often shorter than average because leg bones are short. Back and joint pain and arthritis may start early. Almost all babies are born with cleft palate. 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:

  • Severe high-pitched hearing loss
  • Cleft palate
  • Short stature with short limbs
  • Enlarged, painful joints and early arthritis
  • Flattened spine bones (platyspondyly)
  • Small lower jaw and flat nose bridge

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 COL11A2 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 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 should hearing be tested and supported?
Which care helps with joint pain and early arthritis?
Would COL11A2 genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesCOL11A2

Changes in the COL11A2 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: chondrodystrophy with sensorineural deafness; nance-insley syndrome; nance-sweeney chondrodysplasia; osmed; otospondylmegaepiphyseal dysplasia

Patient organizations

Source: NIH GARD · Otospondylomegaepiphyseal dysplasiaGARD ID 4130 · 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 Otospondylomegaepiphyseal dysplasia.

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