What is
achondroplasia?

Achondroplasia is a rare, genetic condition that affects bone growth. It is the most common type of skeletal dysplasia. Achondroplasia causes bone growth to slow down, especially in the long bones of the arms and legs. This causes short stature, shortened limbs, and other distinctive features.1

Definitions of key terms can be found in the glossary

child with achondroplasia smiling while being carried outdoors

What causes achondroplasia?

Achondroplasia is caused by variants in the fibroblast growth factor receptor 3 (FGFR3) gene. FGFR3 plays a key role in regulating bone growth.1,2

Achondroplasia prevalence

Achondroplasia occurs in about 1 in 25,000 births. The variants that cause achondroplasia can occur either by chance or from being passed down by a parent with the condition.1

Is achondroplasia genetic?

Most of the time, the variant occurs in families with no prior history of achondroplasia. In families where one parent has the condition, there is a 50% chance that the variant will be passed down to the child.1

infographic showing 80% of people with achondroplasia have no family history of the condition

FGFR3 and bone growth in
achondroplasia

 

Chondrocytes are a type of cell responsible for bone and cartilage formation. They are essential for the development of the skeletal system.2,3

Chondrocytes contain a type of protein called FGFR3, which helps to slow bone growth.2,3

In people with achondroplasia, FGFR3 becomes overactive, which reduces bone growth and leads to the common features of achondroplasia.1

diagram comparing average bone growth to fgfr3-driven skeletal dysplasias, relevant to hypochondroplasia diagram comparing average bone growth to fgfr3-driven skeletal dysplasias, relevant to hypochondroplasia Enlarge image

Medical complications of achondroplasia

A varied journey for individuals

The way bones grow in people with achondroplasia can lead to specific medical complications and challenges. Multiple systems in the body can be affected and symptoms may vary at different stages of life.4-6 Achondroplasia complications that may occur are shown in the table below.

Individuals with achondroplasia should have regular check-ups by an experienced, multidisciplinary healthcare team. Some complications may improve on their own, while others may require treatment or surgery. Some children may benefit from early intervention.6 Learning about the complications that may occur can help individuals and families feel prepared and get the care needed.

Talk to a member of your healthcare team
for guidance on your care plan

young girl with achondroplasia standing in a park, smiling happily mother holding a child with achondroplasia, both smiling outdoors child with achondroplasia posing with arms outstretched on a playground

Medical achondroplasia complications
across many stages of life

Infancy

Childhood

Adolescence

Adulthood

ENT, respiratory, dental 4-6

Sleep apnea

Slowed or repeated stopping of breathing during sleep

Dental complications

Crowded or crooked teeth, narrow palate, open bite or underbite

Recurrent ear infections

May lead to delayed speech or hearing loss

Respiratory problems

Upper airway obstructions

Neurologic 4-6

Hypotonia

Poor muscle tone

Foramen magnum stenosis

Narrowing of the opening at the base of
the skull, which can affect breathing or develop into other complications

Spinal stenosis

Narrowing of the lower spinal cord, which may cause pain and other complications

Orthopedic 4-5

Hypermobility of joints

Kyphosis

Outward curving (rounding)
of the upper back

Lordosis

Inward curving (arching) of the lower back

Genu varum

Bowed legs

Chronic pain

Widespread joint and muscle pain

Metabolic conditions

Obesity

Infancy

Childhood

Adolescence

Adulthood

Definitions of these terms can be found in the glossary

Living with achondroplasia

Impacts on daily activities

People with achondroplasia generally live healthy, active, and independent lives. However, some activities can be challenging due to the way that bones develop in achondroplasia.5

Learning about adaptations and options for support can enhance independence and well-being

Daily activities may be impacted by achondroplasia7

Quality of life

The experience of living with achondroplasia is different for each individual and each family. Many factors, such as functional limitations, social stigma, or emotions, can affect quality of life.7-9

Adaptations and tools, such as step stools and personal care devices, can support independence in daily activities.1 Psychological support from healthcare professionals as well as social support from family members, peers, and advocacy groups may enhance well-being.4,6

icons representing the daily activities that may be impacted by achondroplasia

Achondroplasia resources

Learn more about the impact of living with achondroplasia

Learn more about our research and clinical studies

Explore our research

References