raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3329

Tibial aplasia-ectrodactyly syndrome

Synonyms: Aplasia of tibia with split-hand/split-foot deformity · SHFLD syndrome · SHFM associated with aplasia of long bones · Split hand/foot malformation with long bone deficiency · Split-hand/foot malformation associated with aplasia of long bones · TH-SHFM · Tibial hemimelia with split hand/foot malformation · Tibial hemimelia-ectrodactyly syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare syndrome with limb reduction defects characterized by congenital ectrodactylous limb malformations associated with tibial aplasia or hypoplasia. Clinical presentation is highly variable and ranges from bilateral aplasia of tibiae and split-hand/split-foot deformity (tetramonodactyly or transverse hemimelia) to the mildest visible manifestation, hypoplastic big toes. Additional malformations may include distal hypoplasia or bifurcation of femora, hypo- or aplasia of ulnae, and minor anomalies such as aplasia of patellae, postaxial and intermediate polydactyly in association with split-hand deformity, and cup-shaped ears.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTibial aplasia-ectrodactyly syndromeAplasia of tibia with split-hand/split-foot deformity · SHFLD syndrome · SHFM associated with aplasia of long bones · Split hand/foot malformation with long bone deficiency · Split-hand/foot malformation associated with aplasia of long bones · TH-SHFM · Tibial hemimelia with split hand/foot malformation · Tibial hemimelia-ectrodactyly syndrome
frSyndrome de tibia aplasique-ectrodactylieAplasie du tibia avec anomalie des mains et pieds fendus · Hémimélie tibiale avec malformation des mains et pieds fendus · Malformation des mains et pieds fendus associée à une aplasie des os longs · Malformation des mains et pieds fendus avec une anomalie des os longs · Syndrome SHFLD · Syndrome d'hémimélie tibiale-ectrodactylie
deTibiale Aplasie-Ektrodaktylie-SyndromSHFLD-Syndrom · SHFM in Assoziation mit Aplasie langer Knochen · Spaltbildungen an Händen/Füßen in Verbindung mit Aplasie der langen Knochen · TH-SHFM · Tibia-Hemimelie-Ektrodaktylie-Syndrom · Tibiaaplasie mit Spalthand-Spaltfuß-Deformität
esSíndrome de aplasia tibial-ectrodactilia
itAplasia della tibia - ectrodattiliaSchisi della mano - agenesia della tibia
nlAplasie van tibia - ectrodactylie-syndroomAplasie van tibia met gespleten hand/gespleten voet · Gespleten hand/voet-malformatie geassocieerd met aplasie van pijpbeenderen · Gespleten hand/voet-malformatie met deficiëntie van pijpbeenderen · SHFLD-syndroom · SHFM geassocieerd met aplasie van pijpbeenderen · TH-SHFM · Tibiale hemimelie - ectrodactylie-syndroom · Tibiale hemimelie met gespleten hand/voet-malformatie
ptSíndrome de aplasia da tíbia-ectrodactiliaAplasia da tíbia com deformação da mão/pé fendido · Hemimelia tibial com malformação da mão/pé fendido · Malformação da mão/pé fendidos associada a aplasia dos ossos longos · Malformação da mão/pé fendidos com deficiência dos ossos longos · SHFLD associado a aplasia dos ossos longos · Síndrome SHFLD · Síndrome hemimelia tibial-ectodractilia
plAplazja kości piszczelowej - ektrodaktyliaAplazja kości piszczelowej z rozszczepem dłoni/rozszczepem stopy · Hemimelia piszczelowa z rozszczepem dłoni/stopy · Rozszczep dłoni/stopy z ubytkiem kości długich · Rozszczep dłoni/stopy związany z aplazją kości długich · SHFM związany z aplazją kości długich · TH-SHFM · Zespół hemimelia piszczelowa-ektrodaktylia · Zespół SHFLD
csSyndrom zahrnující tibiální aplázii a ektrodaktyliiAplázie tibie s deformitou split-hand/split-foot · SHFLD syndrom · SHFM asociovaná s aplázií dlouhých kostí · Split hand/foot malformace s deficitem dlouhých kostí · Split-hand/foot malformace asociovaná s aplázií dlouhých kostí · TH-SHFM · Tibiální hemimelie se split hand/foot malformací · Syndrom zahrnující tibiální hemimelii a ektrodaktylii
ukСиндром аплазії великогомілкової кістки-ектродактиліїАплазія великогомілкової кістки з деформацією розщепленої кисті/розщепленої стопи · Синдром SHFLD · SHFM, асоційована з аплазією довгих кісток · Роздвоєна вада кисті/стопи з дефіцитом довгих кісток · Розщеплення кисті/стопи, повязане з аплазією довгих кісток · TH-SHFM · Гемімелія великогомілкової кістки з роздвоєнням кисті/стопи · Синдром гемімелії-ектродактилії великогомілкової кістки
zh胫骨发育不良-先天性缺指(趾)畸形长骨发育不全相关性手足裂畸形
trTibial aplazi-ektrodaktili sendromuTH-SHFM · SHFLD sendromu · Tibial hemimeli-ektrodaktili sendromu · Uzun kemik aplazisi ile seyreden SHFM · Bölünmüş el/ayak malformasyon ile seyreden tibiyal hemimeli · Ayrık el/ayrık ayak deformitesi ile seyreden tibiya aplazisi · Uzun kemik eksikliği ile seyreden ayrık el/ayak malformasyonu · Uzun kemik aplazisi ile seyreden ayrık el/ayak malformasyonu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM119100BTNTvalidated
OMIM610685BTNTvalidated
OMIM612576BTNTvalidated
ICD-10Q73.8NTBTattributedvalidated
ICD-11LD26.0NTBTindexvalidated
MONDO0018050Evalidated
MeSHC536425Evalidated
UMLSC4551989Evalidated
GARD1369Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

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Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
BHLHA9Major susceptibility factor inNot yet assessedHGNC:35126ENSG0000020589961541617p13.3basic helix-loop-helix family member a9
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.1 / 100 000EuropeValue and classValidated[EXPERT]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

18 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001171Split hand
Frequent (79-30%)
HP:0005772Aplasia/Hypoplasia of the tibia
HP:0100257Ectrodactyly
HP:0001376Limitation of joint mobility
Occasional (29-5%)
HP:0002991Abnormal fibula morphology
HP:0002823Abnormality of femur morphology
HP:0006495Aplasia/Hypoplasia of the ulna
HP:0001156Brachydactyly
HP:0002980Femoral bowing
HP:0003038Fibular hypoplasia
HP:0006101Finger syndactyly
HP:0001539Omphalocele
HP:0000396Overfolded helix
HP:0006443Patellar aplasia
HP:0009756Popliteal pterygium
HP:0001162Postaxial hand polydactyly
HP:0001177Preaxial hand polydactyly
HP:0003097Short femur

Run the differential on the 1 obligate / very frequent terms

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Sources for this card