Arthrogryposis, Distal, Type 1a, also known as distal arthrogryposis type 1, is related to distal arthrogryposis and fetal akinesia deformation sequence 1, and has symptoms including arthralgia, metatarsalgia and muscle cramp. An important gene associated with Arthrogryposis, Distal, Type 1a is TPM2 (Tropomyosin 2), and among its related pathways/superpathways are Cardiac conduction and Adipogenesis. The drugs Tolvaptan and Temsirolimus have been mentioned in the context of this disorder. Affiliated tissues include kidney and liver, and related phenotypes are adducted thumb and overlapping fingers