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It means someone has not grown to their full stature due to some deformity such as a hunch back.

Robert Hooke, the 17th Century polymath, who was Gresham Professor of Geometry, Surveyor to the City of London after the Great Fire, Secretary and Curator of Experiments to the Royal Society - all at the same time - was of small stature due to a deformity of the upper back. When Newton paraphrased John of Salisbury and said "If I have seen a little further it is by standing on the shoulders of Giants", he was satirising Hooke (Newton was rather an unplesant man and bore terrible grudges).

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