If the bone age does not correspond to the biological age, this gives reason to diagnose growth retardation. Short stature manifests itself in millions of people, it does not always cause discomfort and has different origins. In case of severe pathologies, other symptoms are observed in addition to stunting. In some cases, the patient can get normal height only with help of leg lengthening surgery. At Ladisten, the clinic of modern orthopedics and traumatology, such surgical operations have been carried out for over 30 years.
Growth retardation may appear because of many reasons. We will look only at the main ones in the table:
|Pathology||Growth retardation ICD-10||Cause|
|Family-related short stature||Short stature not classified in other chapters 34.3||Short height in parents (150-165 cm)|
|Constitutional growth delay||Short stature not classified in other chapters 34.3||Delayed growth spurt|
|Psychosocial growth delay||Short stature not classified in other chapters 34.3||Psychological atmosphere in the environment where the child is growing, a dysfunctional family|
|Somatogenic growth delay||N25.0, K90.0, E24.2 and others||Develops as a consequence of past diseases of the heart, kidneys, respiratory organs|
|Hereditary syndromes||Q96, Q87.1||Various syndromes: Shereshevsky-Turner, Noonan, Russell-Silver syndrome|
|Chondroplasias||Q77.0–Q77.9||Disproportionate skeletal structure|
|Growth retardation in case of hypothyroidism||E03.0– E03.9||Thyroid pathologies|
|Hypopituitarism, including somatotropic insufficiency||E23.0, E23.1, E89.3||Deficiency of growth hormone or several pituitary hormones. May be caused by a tumor or a failure of the pituitary gland|
There is one main symptom of growth retardation – the inconsistency of growth parameters with the established norms at different stages of life. Depending on the form of the process, there are some nuances:
In order to determine the exact cause, qualified diagnostics should be carried out.
Growth retardation is mainly determined by endocrinologists, but a consultation of an orthopedist should be additionally appointed. First, the doctor collects medical history and calculates the target height of the child. Parents’ genetics and nationality play a significant role. Other diagnostic points include:
If you suspect short stature in your child, you need to find out its exact cause:
Growth retardation is treated depending on its cause. If the child does not have enough growth hormone, HGH injections are prescribed. The dose and scheme are adjusted according to the results of the increase in body height. The earlier such treatment is started, the more favorable the outcome. Also, steroids and some hormonal drugs are used to correct the process of growth in addition to growth hormone.
Many conditions cannot be treated with medication. These include the hereditary factor, genetic mutations, dysplasias. Therefore, people decide to take the only possible option – height increase surgery. This is possible thanks to modern technologies and the improved Veklich fixation device. At Ladisten Clinic, minimally invasive surgical operations which make it possible to add 5-10 cm to the patient’s height with practically no blood are performed. We are waiting for you at Ladisten and are always ready to provide a consultation!
¹CHILD DISEASES Edited by Professor N.А. GEPPE TEXTBOOK 2017. Ministry of Education and Science of the Russian Federation Recommended by the Coordination Council for the field of education “Healthcare and Medical Sciences” as a textbook for use in educational institutions implementing basic professional educational programs of higher education in the areas of specialty training 05/31/01 “General Medicine”, 05/31/02 “Pediatrics “.
³FEDERAL CLINICAL RECOMMENDATIONS FOR DIAGNOSTICS AND TREATMENT OF IDIOPATIC LOW GROWTH IN CHILDREN AND ADOLESCENTS, Moscow-2013.