To determine whether a patient has a large skeleton, the following methods can be used: First, measure the circumference of the wrist: if the wrist circumference is between 13-15 cm, if the circumference is significantly greater than 16-18 cm, then there is a significantly large skeleton. If the wrist circumference is between 13-15cm, the skeleton is normal. Second, appearance: through the appearance examination can find that patients with large skeleton often have obvious bony protrusions, while obese patients with bony protrusions are not obvious, and touching the muscles of the limbs will have an obvious sense of tightness, and obese patients will have an obvious sense of softness when touching the limbs, mainly caused by fat accumulation. Therefore, you can determine whether the skeleton has become larger by the above methods.