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Living with SHOX-related short stature

A genetic bone condition with short height, often short arms and legs, and typical development.

Understanding SHOX-related short stature

SHOX-related short stature is a genetic bone condition in which a person is much shorter than average, with no other obvious bone differences or diseases.

Height is well below the average for age, sex and population. Development is typical and growth hormone levels are normal. Arms and legs may be short compared with the trunk. X-rays may show changes at the wrist like those in a related condition. Madelung deformity (a wrist difference) may develop later or never. Signs start in the newborn and infant period.

Signs & symptoms

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

  • Short stature
  • Shorter forearms and lower legs
  • Madelung deformity of the wrist
  • Knock knees
  • Scoliosis
  • Short neck or short feet

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 SHOX are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  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
Can genetic testing of the SHOX gene confirm this diagnosis?
Is growth treatment an option for my child?
How should the wrists and spine be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesSHOX

GARD lists changes in the SHOX gene. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

Genetic

Also known as: short stature, idiopathic familial; short stature, idiopathic, x-linked

Patient organizations

Source: NIH GARD · SHOX-related short statureGARD ID 17434 · 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 SHOX-related short stature.

Explore the SHOX-related short stature blog

Explore research for SHOX-related short stature

Explore actively recruiting SHOX-related short stature studies with HealthSpark.

HealthSpark

Find actively recruiting studies for SHOX-related short stature 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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