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Living with Rhizomelic syndrome, Urbach type

A rare bone growth condition from birth with short upper arms, head and face differences, and sometimes heart differences.

Understanding Rhizomelic syndrome, Urbach type

Rhizomelic syndrome, Urbach type is a rare bone growth condition that causes short upper arms and other skeletal differences.

People may be short and have hip dislocation and thumb differences. Head and face features can include a small head size, sparse fine hair, and a small jaw. Some have heart defects such as pulmonary stenosis, delayed development, and mild elbow stiffness. It begins at birth.

Signs & symptoms

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

  • Short upper arms (rhizomelia)
  • Hip dislocation
  • Small head size (microcephaly)
  • Cleft palate and high palate
  • Extra or finger-like thumb
  • Cognitive impairment

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.

  4. Connect with expert centers

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America
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 Little People of America
  • 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 for this condition?
Should my child's heart be checked for defects?
Which specialists should follow bones, hips, and development?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD lists autosomal recessive inheritance, so a child inherits a changed copy of the gene from each parent. It does not name a gene.

Genetic

Patient organizations

Source: NIH GARD · Rhizomelic syndrome, Urbach typeGARD ID 4705 · 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 Rhizomelic syndrome, Urbach type.

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

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