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A very rare, multiple congenital contractures syndrome characterized by a microstomia with a whistling appearance of the mouth, distinctive facies, club foot and joint contractures. FSS is the most severe form of distal arthrogryposis.
Features include always present findings: Short nose, Chordee, Flexion contracture of finger, and Overlapping toe and others; and very common findings: Narrow mouth, Hypertelorism, Dimple chin, and Neck joint contracture and others. 86 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 11 | Hip contracture, Flexion contracture of finger, Muscle weakness |
Bones and joints | 8 | Joint dislocation, Kyphoscoliosis, Arthralgia |
Arms and legs | 8 | Flexion contracture of finger, Overlapping toe, Flexion contracture of toe |
Brain and nerves | 6 | Seizure, Hypernasal speech, Hypoplasia of the brainstem |
Head and neck | 5 | Cleft ala nasi, Microcephaly, Flat face |
Growth and development | 4 | Postnatal growth retardation, Failure to thrive, Growth delay |
Eyes | 2 | Strabismus, Ptosis |
Ears | 1 | Hearing loss (hearing impairment) |
Skin | 1 | Abnormality of the skin |
Digestive system | 1 | Feeding difficulties in infancy |
Pregnancy and birth | 1 | Decreased fetal movement |
Lungs and breathing | 1 | Recurrent respiratory infections |
Blood and immune system | 1 | Recurrent respiratory infections |
Age of onset: at birth.
MYH3 encodes myosin heavy chain 3 (1,940 aa). Muscle contraction Highest expression in Testis (17.2 TPM) and Prostate (9.7 TPM).
Freeman-Sheldon syndrome is associated with mutations in the MYH3 gene on chromosome 17.
MYH3 is classified as a druggable target with score 0.0.
Genetic testing for MYH3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 14 always present features, 18 very common features, 16 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Freeman-Sheldon syndrome.
8 publications have been identified in PubMed for Freeman-Sheldon syndrome. Research spans Case Report / Case Series (50%), Basic Science / Preclinical (38%), and Review / Meta-Analysis (13%).
Gispert A (2026). [PMID: 42256372](https://pubmed.ncbi.nlm.nih.gov/42256372/). *JAAD Case Rep*. [Case Report / Case Series]
Poling MI (2025). [PMID: 40170744](https://pubmed.ncbi.nlm.nih.gov/40170744/). *Cureus*. [Review / Meta-Analysis]
Madhu S (2025). [PMID: 41116963](https://pubmed.ncbi.nlm.nih.gov/41116963/). *Cureus*. [Basic Science / Preclinical]
Kidwai SM (2025). [PMID: 41480702](https://pubmed.ncbi.nlm.nih.gov/41480702/). *Prague medical report*. [Case Report / Case Series]
Poling MI (2025). [PMID: 39776776](https://pubmed.ncbi.nlm.nih.gov/39776776/). *Clinical case reports*. [Case Report / Case Series]
Yoshida K (2024). [PMID: 39835054](https://pubmed.ncbi.nlm.nih.gov/39835054/). *Cureus*. [Case Report / Case Series]
Morali B (2024). [PMID: 38856159](https://pubmed.ncbi.nlm.nih.gov/38856159/). *Clinical genetics*. [Basic Science / Preclinical]
Vogel A (2024). [PMID: 39054317](https://pubmed.ncbi.nlm.nih.gov/39054317/). *Nature communications*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 11:07 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Freeman-Sheldon syndrome