Table 2.

diagnostic criteria for the 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