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Table 2 diagnostic criteria for the survey

From: Musculoskeletal impairment survey in Rwanda: Design of survey tool, survey methodology, and results of the pilot study (a cross sectional survey)

  Diagnosis Definition
A Congenital deformity  
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  
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  
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  
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  
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