Hail Health Cluster
Hail Health Cluster · Primary Health Care
Short Stature Assessment Tool
Saudi Growth Charts — El-Mouzan et al. 2005  ·  For qualified healthcare professionals only
Pediatric
Clinical Tool
⚠ Important Notice Regarding Saudi Growth Charts The Saudi Growth Charts (El-Mouzan et al. 2005) are cross-sectional (not longitudinal) and should be used as a primary care screening aid only. Clinical judgment, growth velocity assessment, parental height evaluation, and specialist consultation remain essential for accurate diagnosis and management.

📋 Clinical Assessment Required Before Using This Tool

This tool is a clinical aid — not a standalone diagnostic instrument. Ensure you have completed the following before plotting measurements:

📋 Comprehensive HistoryBirth history (IUGR, prematurity), medications (steroids, ADHD, anticonvulsants), family history of short stature or delayed puberty, nutritional history, chronic illness
🔍 Physical ExaminationBody proportions (upper/lower segment ratio), dysmorphic features, Turner syndrome signs, midline abnormalities, goiter, nutritional status
📈 Serial Growth AssessmentPlot at least 2 measurements over time to calculate growth velocity. A single measurement is insufficient — pattern and trend matter
🪨 Bone Age (if indicated)Left hand/wrist X-ray when short stature is confirmed. Bone age guides IGF-1 interpretation vs bone age, not chronological age
Definition: Short stature = height ≤2.3rd percentile (<-2 SDS below mean for age and sex). >60% of cases are non-pathological (constitutional delay or familial short stature). Pathological causes ~5%.
Patient Information
👤 Basic Information
Enter years and/or months (e.g. 2 years 6 months)
📏 Current Measurements
Use supine length for children under 2 years
📈 Growth Velocity  (highly recommended — minimum 3 months interval)
👪 Parental Heights *
🔍 Clinical Findings *
Signs of Turner Syndrome? (females only)
⚠ Signs of Turner syndrome detected — Urgent referral to Pediatric Endocrinology. Karyotype mandatory.
Dysmorphic Features or Body Disproportion?
⚠ Dysmorphic features present — Refer to Pediatric Genetics / Endocrinology for syndromic evaluation.
History of Brain Tumor or Symptoms Suggesting Intracranial Pathology?
🔴 URGENT: Possible intracranial pathology — Refer immediately to Pediatric Emergency / Neurology.
History or Symptoms of Chronic Disease?
⚠ Chronic disease may be contributing to short stature — Investigate and manage underlying condition.
Born Small for Gestational Age (SGA) or IUGR without Catch-up Growth by Age 2?
⚠ SGA without catch-up growth — Refer to Pediatric Endocrinology. GH therapy may be indicated.
Measurements & Percentiles
ParameterValuePercentile / SDSInterpretation
Growth Chart — Saudi Reference (El-Mouzan 2005)
⚕ Clinical Disclaimer: This tool assists qualified healthcare professionals in primary care settings. It does not replace clinical judgment. All findings must be interpreted within the full clinical context. Final diagnosis and management decisions rest with the treating physician.