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. 2020 Feb 18;54(7):372–389. doi: 10.1136/bjsports-2019-101969

Table 5.

Recommended categories of tissue and pathology types for injuries

Tissue Pathology type OSIICS SMDCS Notes
Muscle/Tendon Muscle injury M 10.07–10.09 Includes strain, tear, rupture, intramuscular tendon.
Muscle contusion H 10.24
Muscle compartment syndrome Y 10.36
Tendinopathy T 10.28–10.29 Includes paratenon, related bursa, fasciopathy, partial tear, tendon subluxation (all non-rupture), enthesopathy.
Tendon rupture R 10.09 Complete/full-thickness injury; partial tendon injuries considered to be tendinopathy.
Nervous Brain/Spinal cord injury N 20.40 Includes concussion and all forms of brain injury and spinal cord.
Peripheral nerve Injury N 20.39, 20.41–20.42 Includes neuroma.
Bone Fracture F 30.13–30.16, 30.19 Traumatic, includes avulsion fracture, teeth.
Bone stress injury S 30.18, 30.32 Includes bone marrow oedema, stress fracture, periostitis.
Bone contusion J 30.24 Acute bony traumatic injury without fracture. Osteochondral injuries are considered ‘joint cartilage’.
Avascular necrosis E 30.35
Physis injury G 30.20 Includes apophysis.
Cartilage/Synovium/Bursa Cartilage injury C 40.17, 40.21, 40.37 Includes meniscal, labral injuries and articular cartilage, osteochondral injuries.
Arthritis A 40.33–40.34 Post-traumatic osteoarthritis.
Synovitis/Capsulitis Q 40.22, 40.34 Includes joint impingement.
Bursitis B 40.31 Includes calcific bursitis, traumatic bursitis.
Ligament/Joint capsule Joint sprain (ligament tear or acute instability episode) L or D 50.01–50.11 Includes partial and complete tears plus injuries to non-specific ligaments and joint capsule; includes joint dislocations/subluxations.
Chronic instability U 50.12
Superficial tissues/skin Contusion (superficial) V 60.24 Contusion, bruise, vascular damage.
Laceration K 60.25
Abrasion I 60.26–60.27
Vessels Vascular trauma V 70.45
Stump Stump injury W 91.44 In amputees.
Internal organs Organ trauma O 80.46 Includes trauma to any organ (excluding concussion), drowning, relevant for all specialised organs not mentioned elsewhere (lungs, abdominal and pelvic organs, thyroid, breast).
Non-specific Injury without tissue type specified P or Z 00.00 (also 00.23, 00.38, 00.42) No specific tissue pathology diagnosed.

OSIICS, Orchard Sports Injury and Illness Classification System; SMDCS, Sport Medicine Diagnostic Coding System.