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Living with Ulnar hypoplasia-split foot syndrome

A very rare condition present at birth with a small forearm bone, missing fingers, and a split foot.

Understanding Ulnar hypoplasia-split foot syndrome

Ulnar hypoplasia-split foot syndrome is a very rare condition with a severely underdeveloped ulna, missing fingers two to five, and split foot.

GARD says it has been described in four males from two generations of one family. It is noticed at birth.

Signs & symptoms

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

  • Underdeveloped ulna (forearm bone)
  • Underdeveloped or missing radius
  • Split hand
  • Split foot

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 or hand surgeon, should we see?
What options help with hand and foot function?

Quick facts

Symptoms usually startNewborn

GARD says X-linked recessive inheritance is suggested, but autosomal dominant inheritance can't be ruled out. It doesn't name a specific gene.

Genetic

Also known as: complete absence of the ulna and of fingers 2 to 5, together with lobster-claw deformity of the feet; familial ulnar aplasia and lobster claw syndrome; severe ulnar aplasia and lobster claw feet; ulnar hypoplasia with lobster-claw deformity of feet; ulnar hypoplasia-lobster-claw deformity of feet syndrome; van de berghe dequeker syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Ulnar hypoplasia-split foot syndromeGARD ID 5400 · 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 Ulnar hypoplasia-split foot syndrome.

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