Mehlman Charles T, Ain Michael C
Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, MLC 2017, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
Department of Orthopaedic Surgery, The Johns Hopkins University, 1800 Orleans street, Baltimore, MD 21287, USA.
Orthop Clin North Am. 2015 Oct;46(4):523-31. doi: 10.1016/j.ocl.2015.06.006. Epub 2015 Aug 6.
Orthopedic surgeons frequently encounter short statured patients. A systematic approach is needed for proper evaluation of these children. The differential diagnosis includes both proportionate and disproportionate short stature types. A proper history and physical examination and judicious use of plain film radiography will establish the diagnosis in most cases. In addition to the orthopedic surgeon, most of these patients will also be evaluated by other specialists, including endocrinologists and geneticists. This article provides an overview of the evaluation of the child with short stature and offers several illustrative examples.
骨科医生经常会遇到身材矮小的患者。对于这些儿童进行恰当评估需要采用系统的方法。鉴别诊断包括匀称性和非匀称性身材矮小类型。详细的病史、体格检查以及合理运用普通X线摄影在大多数情况下能够确立诊断。除了骨科医生外，这些患者中的大多数还会接受其他专科医生的评估，包括内分泌科医生和遗传学家。本文概述了对身材矮小儿童的评估，并提供了几个实例。
