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.
1 Obesity is another important cause for children being lethargic. 2  Meningitis is also a common cause for sluggishness in children. 3  Meninges are protective membranes of the brain and the spinal cord. 4  Meningitis is caused when there is an infection of the meninges.