Skip to content
knowrare
HealthSignal
Your condition community

Living with Polysyndactyly 4

A rare limb difference present from birth, with a broad or split thumb and sometimes webbing between fingers.

Understanding Polysyndactyly 4

Polysyndactyly 4 (PPD4) is a rare limb difference in which the thumb is broad, split or tilted toward the side.

This is the mildest degree of thumb duplication. Webbing between the third and fourth fingers sometimes occurs. It is present at birth or in infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Extra thumb or duplicated thumb bone
  • Broad or split thumb tip
  • Webbing of the third and fourth fingers
  • Webbed toes

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 GLI3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
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 rare disease patient organizations for support
  • 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 genetic testing for GLI3, and should relatives be tested?
What surgery or therapy options exist for the thumb and fingers?
When is the best time to consider treatment?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesGLI3

Changes in the GLI3 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough.

Genetic

Also known as: polydactyly, preaxial type 4; polydactyly, preaxial, type iv; polysyndactyly uncomplicated; ppd4; preaxial polydactyly 4; preaxial polydactyly type 4

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Polysyndactyly 4GARD ID 9903 · 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 Polysyndactyly 4.

Explore the Polysyndactyly 4 blog

Explore research for Polysyndactyly 4

Explore actively recruiting Polysyndactyly 4 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Polysyndactyly 4 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

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Polysyndactyly 4 studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

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

Get Signals for Polysyndactyly 4

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Polysyndactyly 4

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Polysyndactyly 4 experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.