Overview Constitutional growth delay Introduction the most common cause of short stature and pubertal delay adolescents will have a normal growth spurt and normal adult height Presentation normal birth weight and height drop in percentiles on growth curve between 6 months and 3 years, re-establishment of normal growth velocity and following the growth curve at the 5th to 10th percentiles Evaluation characterized by a bone age that is less than chronological age the child's short height is often appropriate when assessed in the context of their skeletal age. Treatment reassurance and regular follow-up Precocious puberty going through puberty at a younger age than is expected can occur secondary to obesity