Clinical Evaluation :-

While assessing a child with Short Stature, we should try to answer the following questions:

Is the child is really short ?

(Children may be referred to a clinic with a mistaken view of their height.) Accurate measurement of height is essential to know whether the child is short. Also because small fallacies in height measurements may get amplified while calculating growth velocities, height should be measured on stadiometer (or similar equipment). Shoes are to be removed & patient is made to stand straight with heels, buttocks, back & occiput touching the vertical support, the head being positioned so that Frankfurt plane (line joining the inferior margin of the orbit to external auditory meatus) is parallel to the ground.

Supine length is taken in children below 2 years of age with an infantometer.