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Living with Tibia, hypoplasia or aplasia of, with polydactyly

A rare genetic condition with differences in the thumbs, hands, and feet, and an underdeveloped or missing shinbone.

Understanding Tibia, hypoplasia or aplasia of, with polydactyly

Tibia, hypoplasia or aplasia of, with polydactyly (tibial hemimelia-polysyndactyly-triphalangeal thumb syndrome) is a rare genetic limb condition.

It typically involves thumbs with three bones, extra or joined fingers and toes, and a small or missing shinbone (tibia). Short stature is often present. Features vary a lot, even within one family. It starts during pregnancy and is noticed at birth.

Signs & symptoms

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

  • Small or missing shinbone (tibia)
  • Small or missing thumb
  • Differences in the calf bone (fibula)
  • Missing kneecap
  • Fused wrist bones
  • Short stature

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 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
Would genetic counseling help our family?
Which specialists, such as an orthopedic surgeon, should we see?
What options are there to help with walking and hand use?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes (variants) cause this condition. It lists both autosomal dominant and autosomal recessive inheritance and doesn't name a specific gene.

Genetic

Also known as: absent tibia-polydactyly syndrome; hypoplastic or aplastic tibia with polydactyly; hypoplastic tibiae-postaxial polydactyly syndrome; mesomelic dysplasia, werner type; polydactyly with absent tibia; thyp

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Tibia, hypoplasia or aplasia of, with polydactylyGARD ID 8309 · 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 Tibia, hypoplasia or aplasia of, with polydactyly.

Explore the Tibia, hypoplasia or aplasia of, with polydactyly blog

Explore research for Tibia, hypoplasia or aplasia of, with polydactyly

Explore actively recruiting Tibia, hypoplasia or aplasia of, with polydactyly studies with HealthSpark.

HealthSpark

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