[Constitutional slow growth with delayed adolescence, presentation of 3 clinical cases]

Constitutional delay of growth and puberty is a constitutional delay of growth occurring in otherwise healthy adolescents with stature reduced for chronological age but generally appropriate for bone age and stage of pubertal development, both of which are usually delayed; psychological distress is the predominant consequence. The analysis of three cases shows that hand and wrist X-ray to study bone age is very important in patients with short stature, because we can make a better orthodontic treatment due to this bone age delay. The maturation stage investigation can be made in both hands because there are not significant differences between right and left one.