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Femur-fibula-ulna (FFU) complex is a non-lethal congenital anomaly of unknown etiology, more frequently reported in males than females, characterized by a highly variable combination of defects of the femur, fibula, and/or ulna, with striking asymmetry, including absence of the proximal part of the femur, absence of the fibula and malformation of the ulnar side of the upper limb. Axial skeleton, internal organs and intellectual function are usually normal.
Features include very common findings: Split hand, Abnormal thigh bone (abnormal femur morphology), Micromelia, and Humeroradial synostosis and others; and common findings: Abnormal fibula morphology, Abnormality of the elbow, Amelia involving the upper limbs, and Upper limb asymmetry. 14 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 4 | Split hand, Finger syndactyly, Amelia involving the upper limbs |
Phenotype severity distribution: 8 very common features, 4 common features.
Estimated prevalence: 1-9 in 100,000 (Uncommon).
1 clinical trial registered.
4 publications have been identified in PubMed for femur-fibula-ulna complex. Research spans Basic Science / Preclinical (75%) and Review / Meta-Analysis (25%).
Weiss BM (2025). [PMID: 39462998](https://pubmed.ncbi.nlm.nih.gov/39462998/). *J Anat*. [Basic Science / Preclinical]
Leduc F (2025). [PMID: 40673520](https://pubmed.ncbi.nlm.nih.gov/40673520/). *Clin Genet*. [Review / Meta-Analysis]
Candela Andrade M (2025). [PMID: 39943184](https://pubmed.ncbi.nlm.nih.gov/39943184/). *Animals (Basel)*. [Basic Science / Preclinical]
Botha J (2025). [PMID: 39707522](https://pubmed.ncbi.nlm.nih.gov/39707522/). *J Anat*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 11:54 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints | 1 | Abnormal thigh bone (abnormal femur morphology) |
Growth and development | 1 | Short stature |