Recessive multiple epiphyseal dysplasia is a disorder of cartilage and bone development. This condition has relatively mild signs and symptoms, including joint pain that usually begins in late childhood; malformations of the hands, feet, and knees; and curvature of the spine (scoliosis). Some affected individuals are born with an inward- and downward-turning foot (called a clubfoot). An abnormality of the kneecap called a double-layered patella is also relatively common. Although some people with recessive multiple epiphyseal dysplasia have short stature as adults, most are of normal height.