Constitutional growth delay is a disorder that is characterized by a temporary delay in skeletal growth (National Organization for Rare Disorders [NORD], 1991). It is often a cause of parental concern about growth. This pattern occurs when a child (usually short) has a slowdown in growth just before puberty and possibly a delay in beginning puberty. Although children with constitutional growth delay develop slowly, they usually continue growing after other children have stopped, and many times they grow to normal adult height. There are two types of this disorder. Constitutional growth delay (familial) may be found in other individuals in the family. Constitutional growth delay (sporadic) is when the delayed pattern of growth occurs for no apparent reason (NORD, 1991).