Table 2 diagnostic criteria for the survey
| Â | Diagnosis | Definition |
|---|---|---|
A | Congenital deformity | Â |
A1 | Polydactyly | More than five digits on one or both hands (can also be on the feet) |
A2 | Syndactyly | Digits joined together by skin or soft tissue (can also be on the feet) |
A3 | Other upper limb deformity | Any congenital abnormality of upper limb or foot not already described |
A4 | Club foot | Eqinus and varus deformity of foot which is not passively correctable |
A5 | Other lower limb deformity | Any congenital abnormality of lower limb or foot not already described |
A6 | Spine deformity | Any congenital deformity of spine |
A7 | Cleft lip/palate | Unilateral or bilateral defect in continuity of upper lip, with or without associated defect in palate |
A8 | Multiple abnormalities | Congenital abnormalities in more than one site, not including polydactyly |
A9 | Other – specify | Other congenital abnormality not described above |
B | Trauma | Â |
B1 | Fracture non/malunion | Un-united fracture more than six months since injury or fracture healed with deformity e.g. Shortening or angulation |
B2 | Burn contracture | Burn scar of skin or soft tissue causing deformity |
B3 | Spine injury | Spinal injury resulting in deformity and/or neurological deficit |
B4 | Head injury | Head injury resulting in neurological |
B5 | Joint chronic dislocation | Joint dislocation that remains unreduced or regularly re-dislocates |
B6 | Other chronic joint injury | Pain or stiffness or swelling or other joint symptom following trauma, but not including dislocation |
B7 | Tendon/muscle/nerve injury | Tendon or muscle or soft tissue or nerve injury or pain following trauma |
B8 | Amputation | Loss of all or part of a limb due to accident or surgery |
B9 | Other – specify | Any other traumatic injury not previously described |
C | Infective | Â |
C1 | Joint infection | Loss of function of joint associated with history of swelling and fever or discharge |
C2 | Bone infection limb | Pain and or deformity in limb associated with fever, or abscess or discharge of pus |
C3 | Bone infection spine | Pain and or deformity in spine associated with fever, or abscess or discharge of pus |
C4 | Skin/soft tissue infection/wound | Infection of skin or soft tissue including wound infection and ulcers |
C5 | Other – specify | Any other infection affecting the musculoskeletal system not described above |
D | Neurological | Â |
D1 | Epilepsy/seizures | 2 or more seizures/convulsions not associated with fever |
D2 | Leprosy | Known diagnosis of leprosy |
D3 | Polio | Known polio infection |
D4 | Para/quadri/tetraplegia | Marked weakness or paralysis in arms or legs or both, may be due to injury or other causes |
D5 | Cp/developmental delay | Delay in attaining normal childhood milestones with not obvious physical disorder |
D6 | Cerebral palsy | Nonprogressive motor deficit which started before age 10 |
D7 | Peripheral nerve palsy | Weakness due to single nerve lesion e.g. Unilateral foot drop or wrist drop |
D8 | Other – specify | Sensory or motor deficit or neurological disorder not already described |
E | Other acquired | Â |
E1 | Joint problem | Joint pain or swelling or deformity with no recent preceding trauma |
E2 | Angular limb deformity | Abnormal angulation of limb at or near joint. Kncluded knock knees and bow legs |
E3 | Bone tumour/swelling | Firm swelling of bone – benign or malignant |
E4 | Skin/soft tissue tumour/swelling | Swelling of soft tissue – benign or malignant |
E5 | Spine deformity | Acquired deformity of spine |
E6 | Spine pain | Spinal pain limiting function but not associated with significant deformity |
E7 | Limb pain | Limb pain limiting function, but no structural change |
E8 | Limb swelling | Abnormal swelling of limb (includes lymphoedema) |
E9 | Other – specify | Aquired musculosekeletal impairment not due to infection or trauma, not neurological and not described above |