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Living with Triphalangeal thumbs-brachyectrodactyly syndrome

A rare genetic condition with differences in the thumbs, fingers, and toes, including extra, short, or joined digits.

Understanding Triphalangeal thumbs-brachyectrodactyly syndrome

Triphalangeal thumbs-brachyectrodactyly syndrome is a rare genetic condition with extra bones and extra or joined fingers and toes.

Features include thumbs with three bones, extra bones in other fingers, and extra fingers or toes. These come with a wide mix of split hand or foot, short digits, and joined digits. Nails may be very poorly formed or missing. It is noticed at birth.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet, but the summary describes these features:

  • Thumbs with three bones (triphalangeal thumbs)
  • Extra fingers or toes (polydactyly)
  • Short fingers or toes (brachydactyly)
  • Split hand or foot (ectrodactyly)
  • Joined fingers or toes (syndactyly)
  • Poorly formed or missing nails

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 a hand surgeon, should we see?
What options are there to help with hand and foot use?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD says changes in genes (variants) cause this condition and that it is autosomal dominant, so one changed copy of a gene can be enough. It doesn't name a specific gene.

Genetic

Also known as: carnevale hernandez del castillo syndrome; carnevale-hernández-del castillo syndrome; triphalangeal thumb and brachyectrodactyly syndrome; triphalangeal thumb with brachyectrodactyly syndrome; triphalangeal thumbs with brachyectrodactyly

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Triphalangeal thumbs-brachyectrodactyly syndromeGARD ID 5290 · 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 Triphalangeal thumbs-brachyectrodactyly syndrome.

Explore the Triphalangeal thumbs-brachyectrodactyly syndrome blog

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