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.
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.