Short answer · Medically reviewed summary · Last updated: 2026-05-08

Freeman-Sheldon Syndrome is a genetic condition that follows an autosomal dominant inheritance pattern, meaning a single copy of the mutated gene is sufficient to cause the disorder. While it is hereditary, the vast majority of cases occur as de novo (spontaneous) mutations, meaning the affected individual is the first in their family to have the condition. Is Freeman-Sheldon Syndrome hereditary? Freeman-Sheldon Syndrome is a genetic disorder typically caused by mutations in the MYH3 gene.

2 people with Freeman Sheldon Syndrome have shared their first-person experience on this question at DiseaseMaps.

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Is Freeman Sheldon Syndrome hereditary?

Is Freeman Sheldon Syndrome hereditary? The genetic component explained in plain language, reviewed against medical sources, with patient experiences.

Is Freeman Sheldon Syndrome hereditary?

Freeman-Sheldon Syndrome is a genetic condition that follows an autosomal dominant inheritance pattern, meaning a single copy of the mutated gene is sufficient to cause the disorder. While it is hereditary, the vast majority of cases occur as de novo (spontaneous) mutations, meaning the affected individual is the first in their family to have the condition.



Is Freeman-Sheldon Syndrome hereditary?


Freeman-Sheldon Syndrome is a genetic disorder typically caused by mutations in the MYH3 gene. Because it follows an autosomal dominant inheritance pattern, an individual with Freeman-Sheldon Syndrome has a 50% chance of passing the condition to each of their children. However, because most instances arise from a de novo mutation in the egg or sperm cell, parents of an affected child usually do not carry the mutation themselves and have a very low risk of having another child with the syndrome.



How is Freeman-Sheldon Syndrome diagnosed genetically?


Clinical diagnosis of Freeman-Sheldon Syndrome is based on characteristic physical features, such as a "whistling" face, microstomia (small mouth), and joint contractures. Genetic testing is used to confirm the diagnosis by identifying a pathogenic variant in the MYH3 gene. Genetic counseling is strongly recommended for families to understand their specific recurrence risks and reproductive options.



What are the options for genetic counseling and testing?


If you or a family member is affected by Freeman-Sheldon Syndrome, consider the following steps:



  • Clinical Confirmation: Seek molecular genetic testing to confirm the specific MYH3 mutation.

  • Parental Testing: Geneticists often test parents to determine if the mutation was inherited or is de novo.

  • Reproductive Planning: Families may explore options like prenatal diagnosis (e.g., amniocentesis) or preimplantation genetic testing (PGT) if they are at risk of passing the mutation to future children.

  • Community Support: Connect with the 32 people with Freeman-Sheldon Syndrome currently sharing their experiences on DiseaseMaps.org to find peer support.



Next steps



  • Consult with a clinical geneticist to discuss your specific family history and genetic test results.

  • Speak with a certified genetic counselor to review reproductive options and family planning.

  • Join the Freeman-Sheldon Syndrome community at DiseaseMaps.org to connect with others navigating this rare diagnosis.



Medical disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment; always seek the advice of your physician or qualified health provider.



References



  • NIH Genetic and Rare Diseases (GARD) Information Center: Freeman-Sheldon Syndrome.

  • OMIM (Online Mendelian Inheritance in Man): Entry #193700 (Freeman-Sheldon Syndrome).

  • Orphanet: Rare disease database entry for Freeman-Sheldon Syndrome.

  • PubMed: Clinical literature regarding MYH3 gene mutations and distal arthrogryposis spectrum.

Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
3 answers
Yes it can be. I am the 4rth generation of 6.

Posted Oct 5, 2017 by Jrdtmk 1500
Yes, I have it (and was told I was unique when I was younger because girls typically didn't have it). My brother has it (much worse case: severely deep-set eyes, dislocated hips, more pronounced curving of the hands, smaller mouth opening). My father (b: 1940) had it and his father was said to have had it (couldn't get a spoon past his teeth in his old age). Also a first cousin of my father's was reported to have had the bent hands. The ability to "open wide" or extend your hands flat seems to get worse with age.
I've done some DNA comparison with "cousins" on various platforms and in our case it seems to have been inherited on chromosome 17 - which is where our TIPTON ancestry resides.

Posted Nov 19, 2022 by Cheri 650

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I am 58yo female affected for 58 yrs. Second generation and one of 7 in multi-generational family. Father, myself, sisters, daughter, 2 nephews and 2 great-nephews. One of the sister's doesn't have as bad a symptoms and she had one child with it and ...
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My paternal grandfather apparently had it. It was said that before he died his mouth opening was so narrow that he couldn't get a spoon past his teeth. My father had it. He couldn't open his mouth very wide (although that didn't stop him from over...
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I am Quanh, 21 years old. I didn't discover Freeman Syndrome until genetic test this year 2021. I really would like to reach our to other people, how do they deal with life and hearing advices from others. Good luck with your journey. Below is my p...

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