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.
In children older than 10 years, the most common cause of limping is ankle sprain (Sty et al.). Overuse syndromes are caused by microtrauma; examples of overuse syndromes are stress fracture, Osgood-Schlatter disease, shin splints, Sever's disease, and chondromalacia patellae.
Parainfluenza viruses can cause repeated infections, but reinfection generally causes milder illness. Thus, in immunocompetent adults, most infections are asymptomatic or mild. The most common illness in children is an upper respiratory illness with no or low-grade fever. Parainfluenza type 1 probably causes croup (laryngotracheobronchitisâsee Croup), primarily in infants aged 6 to 36 mo. Croup begins with common cold symptoms. Later, fever, a barking cough, hoarseness, and stridor develop.