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Living with Radioulnar synostosis

A rare condition present from birth in which the two forearm bones are joined, limiting forearm rotation.

Understanding Radioulnar synostosis

Congenital radioulnar synostosis is a rare condition in which the radius and ulna, the two forearm bones, are abnormally joined at birth.

It affects both arms in about 60% of cases. People often can't rotate the forearm well. Pain is usually not present until the teen years. There are two types, which differ in where the fusion is and whether the radial head is missing or dislocated. It can occur on its own or as part of some chromosome conditions or genetic syndromes.

Signs & symptoms

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

  • Fused forearm bones
  • Limited forearm rotation (turning the palm up or down)
  • Limited elbow movement
  • Differences in the radius and ulna bones
  • Dislocated radial head in some people
  • Shoulder pain in some people

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 RUS in Focus
  • 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
Which type of radioulnar synostosis is it, and how does that affect function?
When would surgery be considered, if at all?
Could this be part of a genetic syndrome?

Quick facts

Symptoms usually startInfant and as a Child

It comes from abnormal development of the forearm bones before birth, and the cause isn't always known. It is sometimes part of a chromosome condition or genetic syndrome, and some cases appear to be inherited in an autosomal dominant way.

Genetic

Also known as: congenital radioulnar synostosis; fused forearm bones; radioulnar fusion; radioulnar synostosis (disease)

Patient organizations

Source: NIH GARD · Radioulnar synostosisGARD ID 10876 · 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 Radioulnar synostosis.

Explore the Radioulnar synostosis blog

Explore research for Radioulnar synostosis

Explore actively recruiting Radioulnar synostosis studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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

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