(16) As a clinician it is imperative to distinguish whether these lines may have developed as a result of repetitive trauma or from other pathologies such as infection, (2) malnutrition, (2,21) immobilization, (4,8) hypoparathyroidism, (16) alcohol consumption during growth, (9) juvenile chronic arthritis, (18) psychosocial short stature, (19) endemic skeletal fluorosis, (20) bisphosponate medication, (21) heavy metal poisoning (13) or leukemia.
Metaphyseal growth arrest lines in psychosocial short stature. Arch Dis Child.
When the child's height velocity is below normal, however, a variety of serious diseases may be present including (1) chronic disease, (2) psychosocial short stature, (3) Turner syndrome, and (4) endocrine disorders.
Psychosocial short stature results from insufficient caloric intake and/or the absence of a psychologically nurturing environment.