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.
An acute limp implies an underlying pathology that causes disruption of the standard gait pattern; the challenge for the physician is to identify this pathology. The cause of a limp can range from something as serious as a life-threatening bone tumor to something as minor as a pebble in a shoe.