What a height percentile can and cannot tell you
Height percentile is a screening description, not a diagnosis. A child at the 10th percentile is not automatically unhealthy, just as a child at the 90th percentile is not automatically abnormal. Many healthy children are naturally shorter or taller because of family pattern, ethnicity, or timing of puberty.
The more important clinical question is whether growth is following a fairly consistent path. A child who has always tracked near the 10th percentile can be perfectly well, while a child who falls sharply from one centile band to another may need review even if the current percentile does not look extreme.