Short Stature and Altered Body Proportions
A child considered to be “short” may be brought to an orthopedic surgeon or pediatrician to find out if his or her stature can be increased. Before embarking on any investigations, it is necessary to determine if the child does, in reality, have short stature (Vogiatzi and Copeland 1998). The most widely accepted definition for short stature is height for age that is less than two standard deviations below the average for that gender. This is shown on standard growth charts as falling below the 3rd centile (Fig. 33.1). Once it is established that the stature of the child is indeed short, then the distinction needs to be made between non-pathological familial short stature and pathological short stature (Vogiatzi and Copeland 1998; Seaver and Irons 2009).
KeywordsShort Stature Turner Syndrome Skeletal Dysplasia Noonan Syndrome Nephrogenic Diabetes Insipidus
- Greulich W, Pyle S. Radiographic atlas of skeletal development of the hand and wrist. Stanford: Stanford University Press; 1959.Google Scholar
- Tanner J, Whitehouse R, Marshall W, et al. Assessment of skeletal maturity and prediction of adult height (TW2 method). New York: Academic; 1975.Google Scholar