5). Partial or full bursectomies wereperformed in all patients with symptomatic spurs orrecurrent triceps tendonitis in which evidence of concom-itant bursitis was found at operation. 2,14 The spur wasgenerally covered by at least a thin layer of triceps tendon,which was incised longitudinally.
The child should be carefully examined because. nonmusculoskeletal conditions can cause limping. Based on the most probable diagnoses suggested by the history and. physical examination, the appropriate use of laboratory tests and imaging studies can help confirm the diagnosis. (Am. Fam Physician. 2009;79(3):215-224.
Acute limping in children is a common reason for consultation in pediatric emergency units. Acute leukemia is a rarely encountered disease in the orthopedic surgeon's activity. In addition, its clinical presentation is not typical and therefore is a source of possible diagnostic delay. For such reasons, there is a definite risk of undiagnosing the actual etiology of the limping episode. We report our experience with four cases of children initially seen in the pediatric emergency department for limping, as their revealing presentation of acute leukemia.