Short Stature and Altered Body Proportions

  • Benjamin Joseph


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).


Short Stature Turner Syndrome Skeletal Dysplasia Noonan Syndrome Nephrogenic Diabetes Insipidus 
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  1. Alanay Y, Lachman R. A review of the principles of radiological assessment of skeletal dysplasias. J Clin Res Pediatr Endocrinol. 2011;3:163–78.PubMedCentralPubMedCrossRefGoogle Scholar
  2. Gardner J, Beighton P. Brachyolmia: an autosomal dominant form. Am J Med Genet. 2003;116A:80–4.CrossRefGoogle Scholar
  3. Greulich W, Pyle S. Radiographic atlas of skeletal development of the hand and wrist. Stanford: Stanford University Press; 1959.Google Scholar
  4. Krakow D, Remoin D. The skeletal dysplasias. Genet Med. 2010;12:327–41.PubMedCrossRefGoogle Scholar
  5. Offiah A, Hall C. Radiological diagnosis of the constitutional disorders of bone. As easy as A, B, C? Pediatr Radiol. 2003;33:153–61.PubMedCrossRefGoogle Scholar
  6. Redl G. Massive pyramidal tract signs after endotracheal intubation. A case report of spondyloepiphyseal dysplasia congenita. Anesthesiology. 1998;89:1262–4.PubMedCrossRefGoogle Scholar
  7. Rimoin D, Cohn D, Krakow D, et al. The skeletal dysplasias: clinical-molecular correlations. Ann N Y Acad Sci. 2007;1117:302–9.PubMedCrossRefGoogle Scholar
  8. Seaver L, Irons M. ACMG practice guideline: genetic evaluation of short stature. Genet Med. 2009;11:465–70.PubMedCentralPubMedCrossRefGoogle Scholar
  9. Siklar Z, Berberoglu M. Syndromic disorders with short stature. J Clin Res Pediatr Endocrinol. 2014;6:1–8.PubMedCentralPubMedCrossRefGoogle Scholar
  10. 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
  11. Unger S. A genetic approach to the diagnosis of skeletal dysplasia. Clin Orthop Relat Res. 2002;401:32–8.PubMedCrossRefGoogle Scholar
  12. Vogiatzi M, Copeland K. The short child. Pediatr Rev. 1998;19:92–9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  • Benjamin Joseph
    • 1
  1. 1.Aster MedcityKochiIndia

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