Table 1

Indications for performing a radiographic skeletal survey

Disproportionate body segments for age and stage of puberty
Child with height prediction inappropriately short for the family, especially if growing at a normal rate
Unexpectedly poor response to usual doses of growth promoting agents (that is, resistance to a standard dose of growth hormone)
Absent puberty growth spurt
Short child with one (or more) very short parent, especially one with body disproportion
Otherwise unexplained short stature