Skip to content
knowrare
HealthSignal
Your condition community

Living with Pyle metaphyseal dysplasia

A genetic bone condition in which the ends of the long bones are wide and the bones break easily.

Understanding Pyle metaphyseal dysplasia

Pyle metaphyseal dysplasia, also called Pyle disease, is a genetic bone disorder in which the ends of the long bones in the arms and legs are abnormally broad.

The bones look like boat oars or paddles. The inner spongy bone is enlarged, but the dense outer layer is thinner, so bones are fragile and break easily. Knock knees are common. Collar bones, ribs, and finger bones can be widened. Dental problems such as late tooth eruption and misaligned teeth are common.

Signs & symptoms

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

  • Wide ends of the long bones
  • Bones that break easily
  • Knock knees
  • Wide collar bones
  • Misaligned teeth (malocclusion)
  • Dental cavities

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 SFRP4 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
Would genetic testing for the SFRP4 gene help our family?
How can we lower the risk of fractures?
Which dental care is recommended?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSFRP4

This condition is caused by changes in the SFRP4 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: bakwin-krida syndrome; metaphyseal dysostosis; metaphyseal dysplasia, pyle type; pyl; pyle disease; pyle-cohn syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Pyle metaphyseal dysplasiaGARD ID 4612 · 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 Pyle metaphyseal dysplasia.

Explore the Pyle metaphyseal dysplasia blog

Explore research for Pyle metaphyseal dysplasia

Explore actively recruiting Pyle metaphyseal dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pyle metaphyseal dysplasia 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 Pyle metaphyseal dysplasia 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 Pyle metaphyseal dysplasia

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

HealthStoryfor Pyle metaphyseal dysplasia

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 Pyle metaphyseal dysplasia 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.