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Living with Popliteal pterygium syndrome

A condition present from birth that affects the face, skin and genitals, with cleft lip or palate and skin webs behind the knees.

Understanding Popliteal pterygium syndrome

Popliteal pterygium syndrome is a condition that affects the development of the face, skin and genitals.

Most people are born with a cleft lip, a cleft palate or both. Some have pits in the lower lip, missing teeth, and webs of skin across the backs of the knees that can limit movement unless removed by surgery. Webbed or fused fingers or toes and genital differences can occur. GARD says the average IQ is not significantly different from the general population, though cleft lip or palate can raise the chance of language delay or learning issues.

Signs & symptoms

GARD doesn't list a symptom list for this condition. It describes these features:

  • Cleft lip, cleft palate or both
  • Pits or small mounds on the lower lip
  • Webs of skin behind the knees
  • Webbed or fused fingers or toes
  • Missing teeth
  • Genital 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, ear, nose, and throat specialists, eye disease 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 World Craniofacial 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
Should we have genetic testing, and what is the chance of passing it on?
When should knee webs and clefts be treated surgically?
Should my child have language and learning checks?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

GARD says changes in genes cause this condition but doesn't name a gene. It is autosomal dominant, meaning one changed copy of the gene is enough.

Genetic

Also known as: facio-genito-popliteal syndrome; pps

Patient organizations

Source: NIH GARD · Popliteal pterygium syndromeGARD ID 21189 · 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 Popliteal pterygium syndrome.

Explore the Popliteal pterygium syndrome blog

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