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Living with Syndactyly type 3

A condition present at birth in which the fourth and fifth fingers are fused on both hands.

Understanding Syndactyly type 3

Syndactyly type 3 (SD3) is a limb difference present at birth in which the fourth and fifth fingers are completely joined on both hands.

In most cases only the soft tissue is joined. In some cases the fingertip bones are also fused. This joining is the typical sign of the condition. Signs are present from birth.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Fused fourth and fifth fingers
  • Joined finger soft tissue
  • Joined fingertip bones in some people
  • Bent finger that won't straighten (camptodactyly)
  • Short toes (less common)

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 GJA1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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 surgery needed, and when is the best time?
How will this affect hand function?
Would GJA1 gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesGJA1

Changes in the GJA1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

Genetic

Also known as: gja1 non-syndromic syndactyly; non-syndromic syndactyly caused by mutation in gja1; ring and little finger syndactyly; sd3; sdty3; syndactyly of fingers 4 and 5

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Syndactyly type 3GARD ID 5088 · 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 Syndactyly type 3.

Explore the Syndactyly type 3 blog

Explore research for Syndactyly type 3

Explore actively recruiting Syndactyly type 3 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Syndactyly type 3 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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