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Living with Radial deficiency-tibial hypoplasia syndrome

A rare genetic condition in which parts of the arm and leg bones are missing or underdeveloped at birth.

Understanding Radial deficiency-tibial hypoplasia syndrome

Radial deficiency-tibial hypoplasia syndrome is a rare genetic condition with reduced upper and lower limb bones present from before birth.

It involves missing radius bones in both forearms, missing thumbs, and missing or underdeveloped shin bones (tibia) on both sides. Other bone differences may include partly missing toes, a short fibula, and clubhand. GARD lists onset during pregnancy.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary describes these features:

  • Missing forearm bones (radial aplasia) on both sides
  • Missing thumbs
  • Missing or underdeveloped shin bones
  • Partly missing toes
  • Short fibula
  • Clubhand

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. 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)
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
Is genetic testing available to find the cause?
What prosthetic, surgical, or therapy options exist for limb function?
Which specialists, such as an orthopedic doctor, should we see?

Quick facts

Symptoms usually startduring Pregnancy

GARD says gene changes cause this condition. It doesn't name a gene or describe inheritance yet.

Genetic

Also known as: radial deficiency, tibial hypoplasia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Radial deficiency-tibial hypoplasia syndromeGARD ID 18716 · 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 Radial deficiency-tibial hypoplasia syndrome.

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