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Living with Sheldon-Hall syndrome

A genetic condition present at birth that stiffens and bends the joints of the hands and feet and affects facial features.

Understanding Sheldon-Hall syndrome

Sheldon-Hall syndrome, also called distal arthrogryposis type 2B, is a genetic condition with joint contractures that limit movement in the hands and feet.

Fingers and toes are permanently bent, and fingers may overlap or angle toward the pinky. Clubfoot is common. These differences are present at birth and generally don't get worse over time. Facial features can include a triangular face, down-slanting eyes, deep skin folds from nose to lips, and a small mouth with a high palate. Some people have a webbed neck or short stature.

Signs & symptoms

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

  • Bent, stiff joints in hands and feet
  • Overlapping fingers
  • Fingers angled toward the pinky
  • Clubfoot
  • Short stature
  • Narrow or triangular face

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, brain and nervous system 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

    Arthrogryposis Multiplex Congenita Support Inc. may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Arthrogryposis Multiplex Congenita Support Inc.
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 Arthrogryposis Multiplex Congenita Support Inc.
  • 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
Can genetic testing confirm the diagnosis?
What options could help with hand and foot movement?
Which orthopedic or therapy specialists should we see?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD doesn't list a gene for this condition. It is inherited in an autosomal dominant pattern, meaning one changed copy of a gene is enough.

GeneticNeurological

Also known as: arthrogryposis, distal, type 2b; da2b; distal arthrogryposis type 2b; freeman sheldon syndrome, variant; freeman-sheldon syndrome variant

Patient organizations

Source: NIH GARD · Sheldon-Hall syndromeGARD ID 16556 · 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 Sheldon-Hall syndrome.

Explore the Sheldon-Hall syndrome blog

Explore research for Sheldon-Hall syndrome

Explore actively recruiting Sheldon-Hall syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sheldon-Hall syndrome 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

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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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