To STUDY - Technical - New Dacian's Medicine

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Pages New Dacian's MedicineDiseases of the Osteo-Articular System and Connective Tissue

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In this material you have at your disposal only a simple list of diseases belonging to this "group" of diseases (with minimum details necessary for the correct identification / cataloguing), as it is present in the "Table lists of diseases" published by the accredited public institutions.

In Romania, this list is published by the "National Center for the Organization and Insurance of the Information and Information System in the Field of Health" being taken from the "International and Statistical Classification of Related Health Diseases and Problems"...


Excludes: Certain diseases originating in the perinatal period, Certain infectious and parasitic diseases, Compartmental syndrome, Complications of pregnancy, childbirth and lausion, Congenital malformations, deformities and chromosomal abnormalities, Endocrine, nutrition and metabolism diseases, Traumatic injuries, poisoning and other consequences of external causes, Malignant tumors, Symptoms, signs and abnormal results of clinical and laboratory investigations not classified elsewhere.

At the diagnosis, the subclassification is used: 0 – multiple localizations, 1 – the shoulder region (clavicle – acromio-clavicular joint, shoulder blade – gleno-humeral joint, sterno-clavicular joint), 2 – Arm (humerus – elbow joint), 3 – Forearm (radius – wrist hand joint, cubitus), 4 – Hand (carp – joint between these bones, fingers, metacarp), 5 – Pelvic region and thigh (buttocks – thigh (joint), femur – sacro-iliac joint, pelvis)l, 6 – Hair foot te inferior (fibula – knee joint, tibia), 7 – ankle and foot (metatarsus – ankle joint, tarsus – other joints of the foot, fingers), 8 – other (head, neck, ribs, skull, trunk, spine), 9 – unspecified localization.

Arthropathies are predominantly affecting the peripheral joints (limb).

A. Infectious arthropathies Note: This block includes arthropathies due to microbiological agents.

The distinction is made between the following types of etiological bonds: a. direct infection of the joint, where organisms invade the synovial tissue and a microbial agent is present in the joint, b. direct infection, which can be of two types: a "reactive arthropathy", where the microbial infection of the body is established but no microorganism or antigen can be identified in the joint and a "post-infectious arthropathy", where the microbial antigen is present but the discovery of the organism is inconsistent and its local multiplication cannot be highlighted.

1. Pyogenic arthritis – Arthritis and staphylococcal arthritis; Pneumococcal arthritis and arthritis; Other arthritis and streptococcal arthritis and polyarthritis; Arthritis and arthritis due to other specified bacterial agents (additional diagnosis is used to identify the bacterial agent); Unspecified pyogenic arthritis: NOS infectious arthritis;

2. Direct infectious arthritis in infectious and parasitic diseases classified elsewhere – excludes arthropathy in sarcoidosis, reactive and post-infectious arthropathy – Meningococcal arthritis – excludes postmeningococcal arthritis; Tuberculous arthritis – excludes the spine; Arthritis in the course of Lyme disease; Arthritis in other bacterial diseases classified elsewhere: Arthritis in: Leprosy (Hansen's disease), Localized Salmonella infection, Typhoid or paratyphoid fever, Gonococcal arthritis; Arthritis in rubella; Arthritis in other viral diseases classified elsewhere: Arthritis in: mumps, O'nyong-nyong fever; Arthritis in mycosis; Arthritis in other infectious and parasitic diseases classified elsewhere;

3. Reaction arthropathies – excludes Behcet's disease, acute joint rheumatism – Arthropathy after intestinal derivation; Postdizenter arthropathy; Arthropathy after the vaccine; Reiter's disease; Other reaction arthropathies; Unspecified reaction arthropathy;

4. Reaction and post-infectious arthropathies in diseases classified elsewhere – exclude direct infections of the joints in infectious and parasitic diseases classified elsewhere – Postmeningococcal arthritis – exclude meningococcal arthritis; Post-infectious arthropathy in syphilis: Clutton joints – excludes tabetic arthropathy or Charcot; Other post-infectious arthropathies in diseases classified elsewhere: Post-infectious arthropathy in: enteritis due to enterocolitis Yersinia, viral hepatitis – excludes viral arthropathy; Reaction arthropathy in other diseases classified elsewhere: arthropathy in infectious endocarditis;

B. Inflammatory polyarpedopathies

1. Seropositive rheumatoid arthritis – excludes Acute joint rheumatism, Rheumatoid arthritis (a): juvenile, spine – Felty syndrome: Rheumatoid arthritis with splenoadenomegaly and leukopenia; Rheumatoid lung disease; Rheumatoid vasculitis; Rheumatoid arthritis with the involvement of other organs or systems: Rheumatoid: carditis, endocarditis, myocarditis, myopathy, pericarditis, polyneuropathy; Other seropositive rheumatoid arthritis; Unspecified seropositive rheumatoid arthritis;

2. Other rheumatoid arthritis – Seronegative rheumatoid arthritis; Still-onset disease in adults – excludes Still NOS disease; Rheumatoid bursitis; Rheumatoid node; Inflammatory polyarthropathy – excludes NOS polyarthritis; Other rheumatoid arthritis specified; Unspecified rheumatoid arthritis;

3. Psoriatic and enteropathic arthropathies – excludes psoriatic and enteropathic juvenile arthropathies – Distal interphalangeal psoriatic arthropathy; Crippling arthritis; Psoriatic spondylitis; Other psoriatic arthropathies; Arthropathy in Crohn's disease (regional enteritis); Arthropathy in ulcerative colitis; Other enteropathic arthropathies;

4. Juvenile arthritis – includes arthritis in children with onset before the age of 16 years and which lasts more than 3 months and excludes Felty syndrome, juvenile dermatomyositis – Juvenile rheumatoid arthritis: Juvenile rheumatoid arthritis with or without rheumatic factor; Juvenile ankylosing spondylitis – excludes ankylosing spondylitis in adults; Juvenile arthritis with systemic onset: Still NOS disease – excludes Still-onset disease in adults; Juvenile polyarthritis (seronegative); Pauciarticular juvenile arthritis; Other juvenile arthritis; Unspecified juvenile arthritis;

5. Juvenile arthritis in diseases classified elsewhere – excludes arthropathy in Whipple's disease – Juvenile arthritis in psoriasis; Juvenile arthritis in Crohn's disease (regional enteritis); Juvenile arthritis in ulcerative colitis; Juvenile arthritis in other diseases classified elsewhere;

6. Gout – Idiopathic gout: Gouty bursitis, Primary gout, Gouty tophistry of the heart; Gout by lead poisoning; Gout of medicinal origin (additional diagnosis is used for the external cause to identify the drug); Gout due to impaired renal function (any deficiency of kidney function is mentioned); Other secondary gouts; Unspecified gout;

7. Other arthropathies due to microcrystals – Disease by storing hydoxiapatitis; Familial chondrocalcinosis; Other chondrocalcinosis: Chondrocalcinosis NOS; Other arthropathies due to specified microcrystals; Arthropathy due to unspecified microcrystals;

8. Other specific arthropathies – exclude NOS arthropathy, arthrosis, crico-rheumatic arthropathy – Chronic post-rheumatic arthropathy (Jaccond); Kaschin-Beck disease; Villonodular (pigment) synovitis; Palindromic rheumatism; Intermittent hydrarthrosis; Traumatic arthropathy – excludes: Posttraumatic arthrosis (a): first carpo-metacarpian joint, thigh, knee, NOS, other unique joints; Other specific arthropathies not elsewhere classified: Transient arthropathy; Other arthritis – exclude arthrosis – Unspecified polyarthritis; Monoarthritis not classified elsewhere; Other arthritis specified: Allergic arthritis; Unspecified arthritis: NOS arthropathy;

9. Arthropathy in other diseases classified elsewhere – excludes arthropathy in: hematological disorders, hypersensitivity reactions, malignant diseases, neuropathic spondylopathy, psoriatic and enteropathic arthropathies, juvenile – Gouty arthropathy due to an enzymatic deficiency and other hereditary disorders: Gouty arthropathy in: Lesch-Nyhan's syndrome, Diseases with falciform erythrocytes; Arthropathy with microcrystals in other metabolic disorders: Arthropathy with microcrystals in hyperparathyroidism; Dermato-lipoid arthritis; Arthropathy in amyloidosis; Arthropathy in other endocrine diseases of nutrition and metabolism: Arthropathy in: Acromegalic and pituitary gigantism, Hematochromatosis, Hypothyroidism, Thyrotoxicosis (hyperthyroidism); Neuropathic arthropathy: Tabetic arthropathy or Charcot – excludes diabetic neuropathic arthropathy; Arthropathy in other specified diseases classified elsewhere: Arthropathy in: Erythema: multiforme, nodosum, Sarcoidosis, Whipple's disease;

C. Arthrosis

Note: at this place the term osteo-arthritis is used as a synonym for arthrosis or osteo-arthrosis; the term was first used in its usual clinical meaning, without any basic or determined condition identified – excludes osteo-arthritis of the spine;

1. Polyarthrosis – includes arthrosis with the mention of more than one localization and excludes the bilateral touch of a single joint – (Osteo)generalized primary arthrosis; Heberden nodosities (with arthropathy); Bouchard nodosities (with arthropathy); Multiple secondary arthrosis: Post-traumatic polyarthrosis; (Osteo)erosive arthrosis; Other polyarthrosis; Unspecified polyarthrosis: Generalized osteo-arthritis NOS;

2. Coxarthrosis (arthrosis of the thigh) – bilateral primary coxarthrosis; Other primary coxarthrosis: Primary coxarthrosis: NOS, unilateral; Coxarthrosis of bilateral dysplastic origin; Other dysplastic coxarthrosis: Dysplastic coxarthrosis: NOS, unilateral; Bilateral post-traumatic coxarthrosis; Other post-traumatic coxarthrosis: Post-traumatic coxarthrosis: NOS, unilateral; Other bilateral secondary coxarthrosis; Other secondary coxarthrosis: Secondary coxarthrosis: NOS, unilateral; Unspecified coxarthrosis;

3. Gonarthrosis (arthrosis of the knee) – bilateral primary gonarthrosis; Other primary gonarthrosis: Primary gonarthrosis: NOS, unilateral; Bilateral post-traumatic gonarthrosis; Other post-traumatic gonarthrosis: Post-traumatic gonarthrosis: NOS, unilateral; Other bilateral secondary gonarthrosis; Other secondary gonarthrosis: Secondary gonarthrosis: NOS, unilateral; Unspecified gonarthrosis;

4. Arthrosis of the first carpo-metacarpal joint – Primary arthrosis of the first bilateral carpo-metacarpal joint; Other primary arthrosis of the first carpo-metacarpal joint: Primary arthrosis of the first carpo-metacarpal joint: NOS, unilateral; Post-traumatic arthrosis of the first bilateral carpo-metacarpal joints; Other post-traumatic arthrosis of the first carpo-metacarpal joint: Post-traumatic arthrosis of the first carpo-metacarpal joint: NOS, unilateral; Other secondary arthrosis of the first bilateral carpo-metacarpal joints; Other secondary arthrosis of the first carpo-metacarpal joint: Secondary arthrosis of the first carpo-metacarpal joint: NOS, unilateral; Arthrosis of the first unspecified carpo-metacarpal joint;

5. Other arthrosis – excludes arthrosis of the spine, hallux rigidus, polyarthrosis – Primary arthrosis of other joints: Primary arthrosis NOS; Primary arthrosis of other joints: Primary arthrosis NOS; Post-traumatic arthrosis of other joints: Post-traumatic arthrosis of other joints: Nos post-traumatic arthrosis; Other secondary arthrosis: Secondary arthrosis NOS; Other specified arthrosis; Unspecified arthrosis;

D. Other joint disorders Exclude joints of the spine.

1. Acquired deformities of the fingers of the hand and foot – excludes The acquired absence of congenital fingers of the fingers of the hand and foot: absence of fingers of the hand and foot, deformities and malformations of the fingers of the hand and foot – Deformity of the finger(s) of the hand: Deformities in the "buttonhole" and in the "sleb neck" – excludes The finger of the hand in the form of a machete, Palmar fasciculated fibromatosis; Finger in the "bow"; Hallux vulgus (acquired): Bunion; Hallux rigidus; Other hallux deformities (acquired): Hallux varus; Other hammer-shaped deformities of the toe(s) (acquired); The acquired deformation of the unspecified toe(s);

2. Other acquired deformities of the lower limbs – excludes the acquired absence of the lower limb, Acquired deformities of the fingers of the hand and foot, Congenital: absence of the lower limbs, deformities and malformations of the lower limbs, Flat coxa – Valgus deformity not classified elsewhere – excludes metatarsus in valgus, talus valgus foot; Deformation in varus unclassified elsewhere – excludes metatarsus in varus, tibia vara; Deformation in flexion; Punch and foot "hung" (acquired); Flat foot (pes planus) (acquired) – excludes congenital flat foot; Hand and foot in the form of a tassel or in the claw (acquired) – excludes the foot in the form of a tassel unspecified as acquired; Other acquired deformities of the ankle and foot – exclude deformities of the toes (acquired); Inequality in limb length (acquired)); Other specified acquired limb deformities; Acquired deformations of the unspecified members;

3. Diseases of the patella – excludes the dislocation of the patella – Recurrent dislocation of the patella; Relapsing subluxation of the patella: Patella-femoral compression syndrome; Recurrent dislocation of the patella; Relapsing subluxation of the patella: Patella-femoral compression syndrome; Patello-femoral disorders; Other disorders of the patella; Chondromalacia of the patella; Other diseases of the patella; Unspecified patella disease;

4. The internal condition of the knee – excludes Ankylosis, Current injuries, Knee deformity, Affections of the patella, Dissectant osteo-condyrita, Recurrent dislocation or subluxation: NOS, patella – for diagnosis are used the subcategories represented by: 0 – multiple localizations, 1 – anterior cruciate ligament or anterior horn of the medial meniscus, 2 – posterior cruciate ligament or posterior horn at the medial meniscus, 3 – medial collateral ligament or other medial and unspecified meniscus, 4 – lateral collateral ligament or anterior horn of the lateral meniscus, 5 – posterior horn of the lateral meniscus, 6 – other lateral and unspecified meniscus, 7 – capsular ligament, 8 – unspecified ligament or unspecified meniscus – Cyst of the meniscus; Meniscus discoid (congenital); Injury of the meniscus due to a rupture or old injury: Old rupture in the "bucket handle"; Other disorders of the meniscus: Meniscus degeneration, Detached meniscus, Blocked meniscus; Free body in the knee joint; Chronic instability of the knee; Other spontaneous ruptures of the ligament(s) of the knee; Other internal knee disorders: Ligamentous instability of the knee, Knee "in the spring"; Unspecified internal knee disease;

5. Other specific joint diseases – excludes the current injury, ganglion, knee "in the resort", disorders of the temporomandibular joint – Free body in the joint – excludes free body in the knees; Other disorders of the articular cartilage – excludes concrocalcinosis, internal knee disease, metastatic calcification, ocronosis; Ligament disorders: Instability secondary to an injury, Old ligaments, Nos ligament laxity – excludes familial ligamentous laxity, knee; Dislocation and pathological subluxation of a joint not elsewhere classified – excludes: Dislocation or displacement of the joint: Congenital, Current lesion, Recurrent; Recurrent joint dislocation and subluxation – excludes the patella, the vertebral subluxation; Joint contracture – excludes acquired deformities of the limbs, tendon contracture (sheath) without joint contracture, Dupuytren's contracture; Ankylosis of the joint – excludes the spine, stiffness of the joint without ankylosis; Acetabular protrusion; Other specific joint disorders not elsewhere classified: Irritable hip; Unspecified joint disease;

6. Other diseases of the joints not classified elsewhere – excludes the anomaly of gait and mobility, Calcification of: bursa, shoulder (joint), tendon, Deformities classified elsewhere, Difficulty in walking – Hemarthrosis – excludes the current injury; Fistula of the joint; Joint hyperlaxity; Other joint instabilities – excludes the instability of the joint secondary to: old ligament injury, removal of a prosthous joint; Joint epansament – excludes piano hydrarthrosis; Pain in the joint; Joint stiffness not classified elsewhere; Osteophyte; Other specified joint disorders; Unspecified joint disease.

D. Disorders of systemic connective tissue Includes autoimmune disease: NOS, systemic, collagen disease (vascular): NOS, systemic, excludes autoimmune disease of a single organ or of a single type of cells.

1. Polyarteritis nodosa and related diseases – Polyarteritis nodosa; Polyarteritis with pulmonary touch (Churg-Strauss): Allergic granulomatous angeitis; Juvenile polyarteritis; Muco-cutant lymph node syndrome (Kawasaki); Other conditions related to nodosa polyarteritis: Syndrome of extensive polyangiitis;

2. Other necrotic vasculopathy – Hypersensitivity angeitis: Goodpasture syndrome; Thrombotic microangiopathy: Thrombotic thrombocytopenic thrombocytopenic purpura; Malignant granuloma of the midline; Wegener's granulomatosis: Necrotizing respiratory granulomatosis; Aortic cross syndrome (Takayasu); Arteritis with giant cells with rheumatic polymialgia; Other giant cell arteritis; Other necrotizing vasculations specified: Hypocomplementic vasculitis; Unspecified necrotizing vasculopathy;

3. Systemic lupus erythematosus – excludes lupus erythematosus (discoid) (NOS) – Systemic lupus erythematosus due to medications (additional diagnosis is used for the external cause to identify the drug); Systemic lupus erythematosus with touching some organs or systems: Libman-Sacks disease, Lupic pericarditis, Systemic lupus erythematosus with: touching the kidney, touching the lung; Other forms of systemic lupus erythematosus; Unspecified systemic lupus erythematosus;

4. Dermatopolymyositis – Juvenile dermatomyositis; Other dermatomyositis; Polymiositis; Unspecified dermatopolymyositis;

5. Systemic sclerosis – includes scleroderma, exclude scleroderma: circumscribed, neonatal – Progressive systemic sclerosis; CR(E)ST syndrome: Association of calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, telangiectasis; Systemic sclerosis due to a drug or a chemical (additional diagnosis is used for the external cause to identify the cause); Other forms of systemic sclerosis: Systemic sclerosis with: touching the lung, myopathy; Unspecified systemic sclerosis;

6. Other systemic touches of connective tissue – excludes reactive perforating collagenosis – Sicca syndrome (Sjogren's) ): Sjogren's syndrome with: kerato-conjunctivitis, touching the lung, myopathy, tubulo-interstitial renal disorders; Other mixed syndromes: Mixed connective tissue disease – excludes mixed polyangiitis syndrome; Behcet's disease; Rheumatic polymialgia – excludes rheumatic polymialgia with giant cell arteritis; Diffuse (eosinophilic) fasciitis; Multifocal fibrosclerosis; Recurrent paniculitis (Weber-Christian) – excludes paniculitis: lupus, NOS; Hypermobility syndrome: Familial ligamentous laxity – excludes Ehlers-Danlos syndrome, NOS ligamentous laxity; Other specified systemic touches of connective tissue; Systemic touches of unspecified connective tissue: Autoimmune (systemic) NOS disease, Collagen (vascular) disease NOS;

7. Systemic disorders of connective tissue in diseases classified elsewhere – exclude arthropathy in diseases classified elsewhere – Dermato(poly)myositis in neoplastic diseases; Arthropathies in neoplastic diseases classified elsewhere: Arthropathy in: leukemia, malignant histiocytosis, simple myeloma; Hemophilic arthropathy; Arthropathy in other blood disorders – exclude arthropathy in purpura Henoch(-Schonlein); Arthropathy in hypersensitivity reactions classified elsewhere: Arthropathy in purpura Henoch(-Schonlein); Systemic disorders of connective tissue in other diseases classified elsewhere: Systemic disorders of connective tissue: hypogammaglobulinemia, ocronosis;

E. Dorsopathies

The following additional subclassification is used to indicate the reached place: 0 – multiple localizations, 1 – occipito-atlanto-axial region, 2 – cervical region, 3 – thoraco-cervical region, 4 – thoracic region, 5 – thoraco-lumbar region, 6 – lumbar region, 7 – lumbo-sacral region, 8 – sacral and sacro-coccygeal region, 9 – unspecified localization.

1. Dorsopathy by deformation - Kyphosis and lordosis - excludes ifoscoliosis, kyphosis and lordosis: congenital, postprocedural;
Postural kyphosis – excludes osteochondrosis of the spine; Other secondary kyphosis; Other kyphosis and unspecified; Syndrome of the flat back; Other lordosis: Lordosis: acquired, postural; Unspecified lordosis;

2. Scoliosis – includes kyphoscoliosis, excludes congenital scoliosis: due to bone malformation, NOS, postural, cardiopathy due to kyphoscoliosis, postprocedural – infantile idiopathic scoliosis; Juvenile idiopathic scoliosis: Adolescent scoliosis; Other idiopathic scoliosis; Scoliosis by thoracic abnormality; Neuromuscular scoliosis: Scoliosis secondary to cerebral palsy, Friedreich ataxia, poliomyelitis and other neuromuscular disorders; Other secondary scoliosis; Other forms of scoliosis; Unspecified scoliosis;

3. Vertebral osteochondrosis – Juvenile vertebral osteochondrosis: Calve's disease, Scheuermann's disease – excludes postural kyphosis; Vertebral osteochondrosis of the adult; Unspecified vertebral osteochondrosis;

4. Other dorsopathy by deformation – excludes: Congenital sponilolistesis, Congenital spondylosis, Hemivertebral, Klippel-Feil syndrome, Lombalization and sacralization, Platispondyliza, Spina bifida occulta, Deviation of the spine in: osteoporosis, Paget's disease of the bones (deforming osteitis) – Spondylolysis; spondylolisthesis; Other vertebral functions: Ankylosis of the joints of the spine – excludes ankylosing spondylitis, arthrodeal status, pseudoarthrosis after fusion or arthrodesis; Recurrent atlanto-axial subluxation with myelopathy; Other recurrent atlanto-axial subluxations; Other recurrent vertebral subluxations – excludes biomechanical NEC lesions; Torcolis – excludes torcolis: congenital (sterno-mastoid), current injury, due to obstetrical, psychogenic, spasmodic trauma; Other deforming dorsopathy specified – excludes kyphosis and lordosis, scoliosis; Unspecified deforming dorsopathy: Nos spine deviation;

F. Spondylolipathies

1. Ankylosing spondylitis – excludes arthropathy in Reiter's disease, Behcet's disease, Juvenile spondylitis (ankylosing) – Other inflammatory spondylitis; Entasomeness of the spine: Disorders of ligamentous or muscular attachments of the spine; Sacro-ileita not elsewhere classified; Vertebral osteomyelitis; Infection (pyogenic) of an intervertebral disc (additional diagnosis is used to identify the infectious agent); Unspecified discitis; Other infectious spondylolipathies; Other inflammatory spondyllopathies specified; Unspecified inflammatory spondylopathy;

2. Spondylosis – includes arthrosis or osteo-arthrosis of the spine, degeneration of articular surfaces – compression syndrome of the anterior vertebral and spinal artery; other spondylosis with myelopathy: Compression of the spine due to a spondylosis – excludes vertebral subluxation; Other spondylosis with radiculopathy; Other spondylosis: Cervical spondylosis without myelopathy or radiculopathy; Lumbo-sacral spondylosis without myelopathy or radiculopathy; Chest spondylosis without myelopathy or radiculopathy; Unspecified spondylosis;

3. Other spondylopathy – Stenosis of the medullary canal: Caudal stenosis; Ankylosing hyperostosis (Forestier): Diffuse idiopathic skeletal hyperostosis (DISH); Interspinous arthrosis; Traumatic spondylopathy; Vertebral fracture of fatigue: Vertebral fracture of stress; Vertebral collapse not classified elsewhere: Collapse of the NOS vertebrae, Tassing of the NOS vertebrae – excludes The collapse of the vertebrae in osteoporosis, Current injury; other spondyllopathies specified: Ossification of the posterior longitudinal ligament; Unspecified spondylopathy;

4. Spondylopathy in diseases classified elsewhere – excludes psoriatic and enteropathic arthropathies – Vertebral tuberculosis: Deviation Pott; Spondylitis in brucellosis; Entero-bacterial spondylitis; Spondylopathy in other infectious and parasitic diseases classified elsewhere – excludes neuropathic spondylopathy in tabes dorsalis; Neuropathic spondylopathy: Neuropathic spondylopathy in: syringomyelia and syringobulbia, Tabes dorsalis; Collapse of the vertebrae in diseases classified elsewhere: Metastatic fracture of a vertebra; Spondylopathy in other diseases classified elsewhere;

F. Other dorsopathy Excludes current lesion, discitis NOS.

1. Cervical disc disorders – includes cervical disc disorders with cervicalgia, cervico-thoracic disc disorders – Cervical disc disorders with myelopathy; Cervical disc disorders with radiculopathy – excludes nos brachial radiculitis; Other displacements of a cervical disc; Other damage to a cervical disc; Other diseases of a cervical disc; Affection of an unspecified cervical disc;

2. Other disorders of the intervertebral discs – include disorders of the thoracic, thoraco-lumbar and lumbo-sacral discs – Disorders of the lumbar disc and other intervertebral discs with myelopathy; Disorders of the lumbar disc and other intervertebral discs with radiculopathy: Sciatica due to a disease of the intervertebral disc – excludes lumbar radiculitis NOS; Another displacement of a specified intervertebral disc: Lumbago due to the displacement of an intervertebral disc; Other damage to another specified intervertebral disk; Schmorl nodules; Other specified conditions of an intervertebral disc; The affection of an unspecified intervertebral disc;

3. Other dorsopathy not elsewhere classified – Cervico-cranial syndrome: Posterior cervical sympathetic syndrome; Cervico-brachial syndrome – excludes cervical disc disease, chest syndrome with valve; Instabilities of the spine; Sacro-coccygeal disorders not elsewhere classified: Coccigodinia; Other specified dorsopatii; Unspecified dorsopathy;

4. Dorsalgia – excludes psychogenic dorsalgia – Paniculitis affecting the neck and back – excludes: paniculitis: lupus, NOS, relapsing (Weber-Christian); Radiculopathy: Neurita or radiculitis: nos brachial, lumbar NOS, lumbo-sacral NOS, thoracic NOS, NOS radiculitis – excludes: Neuralgia and neurita NOS, Radiculopathy with: cervical disc disease, lumbar disc and other intervertebral disc disease, Spondylosis;

5. Cervicalgia – excludes: Cervicalgia due to intervertebral cervical disc disease; Sciatica – excludes: Sciatic nerve lesion, Sciatica: due to intervertebral disc disease, with lumbago; Lumbago with sciatica – excludes: the one due to the affection of the intervertebral disc; Low dorsalgia: Pain in the lombe, Stretching of the lower back area, Lumbago NOS – excludes: Pain in lombe / hematuria syndrome, Lumbago: due to displacement of the intervertebral disc, with sciatica; Thoracic rickets – excludes: pain due to intervertebral disc disease; Other dorsalgia; Unspecified dorsalgia: Back pain NOS.

G. Soft tissue disorders

G1. Muscle disorders.

Excludes: Dermatopolymyositis, Muscular dystrophies and myopathies, Myopathy in: amyloidosis, nodosa polyarteritis, rheumatic arthritis, scleroderma, Sjogren's syndrome, systemic lupus erythematosus.

1. Myositis – Infectious myositis: Tropical pyomiositis (additional diagnosis is used to identify the infectious
agent); Interstitial myositis; Granuloma appeared due to the presence of a foreign body in the connective tissue not classified elsewhere – excludes: granuloma appeared due to the presence of a foreign body in the skin and connective tissue; Other myosites; Unspecified myositis;

2. Calcification and ossification of muscles – Traumatic ossificant myositis; Progressive ossificant myositis: Progressive ossificant fibrodisplasia; Calcification and paralytic ossification of a muscle: ossificant myositis associated with quadriplegia or paraplegia; Calcification and ossification of muscles associated with burns: ossificant myositis associated with burns; Other muscle calcifications – excludes: Calcifying tendinitis: NOS, shoulder; Other ossifications of a muscle; Calcifications and ossifications of an unspecified muscle;

3. Other muscle disorders – excludes: Cramps and spasms, Myalgia, Myopathy: alcoholic, provoked medicinally, impaled man syndrome – Muscle diastasis; Other muscle ruptures (nontraumatic) – excludes: Tendon rupture, Traumatic muscle rupture; Ischemic muscle infarction – excludes muscle lodge syndrome, traumatic ischemia of a muscle, Volkmann ischemic contracture; Syndrome of immobility (paraplegic); Muscle contracture – excludes: joint contracture; Atrophy and muscle reduction not classified elsewhere: NEC atrophy; Muscle stretching – excludes the current condition; Other specified muscle disorders: Hernia of the muscle (sheath); Unspecified muscle disease;

4. Muscle disorders in diseases classified elsewhere – excludes: myopathy in: endocrine diseases, metabolic diseases – myositis in bacterial diseases classified elsewhere: myositis in: Leprosy (Hansen disease), Syphilis; Myositis in parasitic infections and with protozoa classified elsewhere: myositis in cysticercosis, schistosomiasis (bilhariase), toxoplasmosis, trichinosis; Myositis in other infectious diseases classified elsewhere: myositis in mycosis; Myositis in sarcoidosis; Other muscle disorders in diseases classified elsewhere;

G2. Diseases of synovia and tendon

1. Synovitis and tenosynovitis – exclude chronic crepitant synovitis of the hand and fist, current condition, soft tissue disorders related to excessive stresses – Abscess of the tendon sheath (additional diagnosis is used to identify the bacterial agent); Other (teno)infectious synovites; Calcifying tendinitis – excludes the shoulder, the specified tendonitis; Finger "in the spring": Nodular tendon disease; Radial styloid tenosynovitis (de Quervain); Other synovites and tenosynovitis, Synovitis and tenosynovitis not specified;

2. Spontaneous rupture of synovia and tendon – includes the rupture that occurs when a normal force is applied to tissues that are considered to have a lower power than normal, excludes: rotator sheath syndrome, rupture when an abnormal force is applied to a normal tissue – Rupture of a popliteal cyst; Rupture of synovia: Rupture of the synovial cyst – excludes the rupture of the popliteal cyst; Spontaneous rupture of the extensor tendons; Spontaneous rupture of the flexor tendons; Spontaneous rupture of other tendons; Spontaneous rupture of an unspecified tendon: Rupture of the musculo-tendinous nontraumatic junction;

3. Other diseases of synovia and tendon – excludes palmar fascial fibromatosis (Dupuytren), NOS tendonitis, xantomatosis localized at the level of tendons – Shortening of the Achilles tendon (acquired); Other tendon contractions (sheath) – exclude with joint contracture; Synovial hypertrophy not elsewhere classified – excludes villonodular synovitis (pigmented); Transient synovitis: toxic synovitis – excludes palindromic rheumatism; ganglion: ganglion of the tendon joint (sheath) – excludes: Cyst of: bursa, synovia, Ganglion in piano; Other specified diseases of the synovia and tendon; Unspecified disease of synovia and tendon;

4. Diseases of the synovia and tendon in diseases classified elsewhere – Synovitis and tenosynovitis in bacterial diseases classified elsewhere: Synovitis and tenosynovitis in: gonorrhea, syphilis, tuberculosis; Other diseases of the synovia and tendon in diseases classified elsewhere;

G3. Other soft tissue disorders

1. Soft tissue disorders related to use, excessive stress and pressure – includes soft tissue disorders of occupational origin, excludes Bursitis (a): NOS, shoulder, Enteropathy – Chronic crepitant synovitis of the hand and fist; Bursitis of the hand; Olecranial bursitis; Other elbow bursitis; Prepatillary bursitis; Other belly of the knee; Trochanterian bursitis: Trochanterian tendinitis; Other hip bursitis: Ischial bursitis; Other soft tissue disorders related to use, excessive strain and pressure; Unspecified soft tissue disorders related to use, excessive strain and pressure;

2. Other bursopathy – excludes infection of the toes, bursitis related to use, excessive strain and pressure, enthesopathy – Abscess of the bursa; Other infectious bursitis; Synovial cyst of the popliteal space (Baker) – excludes with rupture; Other cysts of the bursa: Synovial cyst NOS – excludes synovial cyst with rupture; Calcium deposit in the stock exchange – excludes the shoulder; Other bursitis not classified elsewhere – exclude bursitis (a): NOS, shoulder, collateral tibia (Pellegrini-Stieda); Other bursopathy specified; Unspecified bursopathy: Bursitis NOS;

3. Fibroblastic disorders – excludes retroperitoneal fibromatosis – Palmar fascial fibromatosis (Dupuytren); The pad of the phalanges; Plantar fascial fibromatosis: Plantar fasciitis; Necrotizing fibromatosis (additional diagnosis is used to identify the infectious agent); Other fibroblastic disorders: Abscess of the fascia – excludes Fasciitis: diffuse (eosinophilic), necrotizing, nodular, plantar, perennial: NOS, with infection; Unspecified fibroblastic disorders: NOS Fasciitis, NOS Fibromatosis;

4. Soft tissue disorders in diseases classified elsewhere – Gonococcal bursitis; Syphilitic bursitis; Other soft tissue disorders in diseases classified elsewhere;

5. Shoulder injuries – excludes shoulder-hand syndrome – Retractile capsulitis of the shoulder: blocked shoulder, shoulder periarthritis; Syndrome of the rotator sheath: rotator sheath or rupture of the supraspinous or rupture (complete) (incomplete) unspecified as traumatic, supraspinous syndrome; Tendinitis of the biceps; Calcifying tendonitis of the shoulder: calcifying bursa of the shoulder; Shoulder hit syndrome; Bursitis of the shoulder; Other injuries of the shoulder; Unspecified shoulder injury;

6. The enthesopathy of the lower limb except for the foot (the specific superficial terms of bursitis, capsulitis and tendinitis tend to be used indiscriminately for various affections of the peripheral muscle and ligament attachments; most diseases have been collected together as enthesopathy, which is a generic term for the lesions of these localizations) – excludes due to its use, excessive stress and pressure – Gluteal tendonitis; Tendinitis of the psoas; Exostosis of the iliac crest; Syndrome of the ilio-tibial gangelte; Collateral tibial bursitis (Pellegrini-Stieda); Tendinitis of the pate; Tendinitis of the Ahille tendon: Bursitis of the Achilles tendon; Platform tendonitis; Other enthetotics of the lower limb except the foot: Anterior tibial syndrome, Posterior tibial tendinitis; Unspecified lower limb entasome;

7. Other enthetotics – exclude Bursitis: bursitis due to use, excessive strain and pressure, NOS, Osteophyte, Spinal enthesopathy – Medial epicondylitis; Lateral epicondylitis: Epicondylitis of the tennis player; Periarthritis of the fist; Calcaneal exostosis; Metatarsialgia – excludes Morton metatarsalgia; Other entheslopes of the foot; Other enthesopathy not elsewhere classified; Unspecified enthesopathy: bone exostosis NOS, Capsulitis NOS, Periarthritis NOS, Nos tendonitis;

8. Other soft tissue disorders not elsewhere classified – excludes psychogenic soft tissue pain – Unspecified rheumatism: Fibromyalgia, Fibrositis; Myalgia – excludes myositis; Neuralgia and neuritis not specified – excludes: Mononeuropathy, Radiculitis: brachial NOS, lumbo-sacral NOS, NOS, Sciatica; Unspecified paniculitis – excludes Paniculitis: lupus, neck and back, relapsing (Weber-Christian); Fat infrapatelar hypertrophy; Residual foreign body in soft tissue – excludes granuloma due to the presence of a foreign body of: skin and subcutaneous tissue, soft tissue; Pain in a limb; Other specified soft tissue disorders; Unspecified soft tissue disease;

H. Osteopathies and condropations.

H1. Disorders of bone density and structure

1. Osteoporosis with pathological fracture – includes vertebral osteoporotic compaction and fissure and excludes NOS cracked vertebra, NOS pathological fracture, Subsidence of a NOS vertebra – Postmenopausal osteoporosis with pathological fracture; Osteoporosis postovarectectomy with pathological fracture; Osteoporosis of inactivity with pathological fracture; Osteoporosis consequent to a postprocedural malabsorption with pathological fracture; Osteoporosis due to some drugs with pathological fracture (additional diagnosis is used for the external cause to identify the drug); Idiopathic osteoporosis with pathological fracture; Other osteoporosis with a pathological fracture; Unspecified osteoporosis with pathological fracture;

2. Osteoporosis without pathological fracture – exclude osteoporosis with pathological fracture – Postmenopausal osteoporosis; Osteoporosis after oophorectomy; Osteoporosis of inactivity – excludes atrophy of Sudeck; Osteoporosis due to postprocedural malabsorption; Osteoporosis due to some medications (additional diagnosis is used for the external cause to identify the drug); Idiopathic osteoporosis; Localized osteoporosis (Lequesue) – excludes atrophy of Sudeck; Other osteoporosis; Unspecified osteoporosis;

3. Osteoporosis in diseases classified elsewhere – Osteoporosis in multiple myelomatosis; Osteoporosis in endocrine diseases; Osteoporosis in diseases classified elsewhere;

4. Osteomalacia of the adult – excludes Osteomalacia: infantile and juvenile, resistance to vitamin D, Renal osteodystromy, Rickets (evolution): NOS, sequelae, resistant to vitamin D – Osteomalacia puerperal; Senile osteomalacia; Osteomalacia of the adult due to a malabsorption: Osteomalacia due to a postprocedural malabsorption in adults; Osteomalacia of the adult due to malnutrition; Bone disease due to aluminum; Other osteomalaques of the adult due to some medications (additional diagnosis is used for the external cause to identify the drug); Other osteomalacii of the adult; Osteomalacia of the adult unspecified;

5. Bone continuity disorders – Badly strengthened fracture; Unconsolidated fracture (pseudoarthrosis) – excludes pseudoarthrosis after fusion or arthrodesis; Delay in the consolidation of a fracture; Fracture by excessive strain not elsewhere classified: Fracture by excessive stress NOS – excludes fracture of a vertebra by excessive strain; Pathological fracture not classified elsewhere: Pathological fracture NOS – excludes: vertebral subsidence NEC, Pathological fracture in osteoporosis; Other bone continuity disorders; Unspecified bone continuity disorders;

6. Other diseases of bone density and structure – exclude: osteogenesis imperfecta, osteopetrosis, osteopoychosis, polyosthotic fibrous dysplasia – Fibrous dysplasia (localized) – excludes fibrous dysplasia of the jaw; Skeletal fluorosis; Hyperostosis of the skull; Condensed osteitis; Solitary bone cyst – excludes solitary cyst of the jaw; Aneurysmal cyst of the bone – excludes aneurysmal cyst of the jaw; Other bone cysts – excludes: cyst of the JAW NEC, generalized cystic fibrous osteitis (von Recklinghausen's disease of the bones); Other specified disorders of bone density and structure: Hyperostosis of bones except skull – excludes diffuse idiopathic skeletal hyperostosis (DISH); Disorders of the unspecified bone density and structure;

H2. Other osteopathies – excludes postprocedural osteopathy;

1. Osteomyelitis (additional diagnosis is used to identify the infectious agent) – excludes osteomyelitis (a): due to salmonella infection, jaw, vertebra – Acute hematogenous osteomyelitis; Other acute osteomyelitis; Subacute osteomyelitis; Chronic multifocal osteomyelitis; Chronic osteomyelitis with drainage fistula; Other chronic hematogenous osteomyelitis; Other chronic osteomyelitis; Other osteomyelitis: Brodie abscess; Unspecified osteomyelitis; Nos bone infection; Periostitis without mentioning osteomyelitis;

2. Osteonecrosis – includes avascular necrosis of the bone, excludes osteochondropathy – Idiopathic aseptic necrosis of the bone; Osteonecrosis due to some drugs (additional diagnosis is used for the external cause to identify the drug); Osteonecrosis due to a previous trauma; Other secondary osteonecrosis; Other osteonecrosis; Unspecified osteonecrosis;

3. Paget's disease of the bones (deforming osteitis) – Paget's disease of the skull; Paget's disease of other bones – excludes Paget's disease of the skull; Paget's disease of an unspecified bone;

4. Other bone disorders – Algoneurodystrophy: Shoulder-hand syndrome, Sudeck atrophy, Sympathetic reflex dystrophy; Stop epiphyseal; Other disorders of bone growth and development; Hypertrophy of the bones; Other hypertrophic osteoarthropathy: Marie-Bamberger's disease, Pahidermoperiostosis; Osteolysis; Osteopathy after poliomyelitis (additional diagnosis is used to identify a history of polio); Other specified bone diseases: Infantile cortical hyperostosis, Post-traumatic subperiostal ossification; Unspecified bone disease;

5. Osteopathy in diseases classified elsewhere – Bone tuberculosis – excludes spinal cord tuberculosis; Periostitis in other infectious diseases classified elsewhere: Secondary syphilitic periostitis; Osteopathy in other infectious diseases classified elsewhere: Osteomyelitis: Echinococcus granulosum, Gonococcal, Due to Salmonella infection, Osteochondropathy or syphilitic osteopathy; Osteonecrosis in caisson disease; Osteonecrosis due to hemoglobinopathies; Osteonecrosis in other diseases classified elsewhere; Deforming osteitis in neoplastic diseases: Deforming osteitis in malignant tumor of bones; Bone fracture in neoplastic diseases – excludes vertebral subsidence in neoplastic disease; Osteopathy in other diseases classified elsewhere: Osteopathy in renal osteo-dystrophy – excludes diabetic osteopathy;

H3. Condropatii – excludes postprocedural chondropathy;

1. Juvenile osteochondrosis of the hip and pelvis – excludes the slipped upper femoral epiphysis (nontraumatic) – Juvenile osteochondrosis of the pelvis: Osteochondrosis (juvenile) a: acetabulum, iliac crest (Buchanan), ischio-pubic syncodrososis (van Neck), pubic symphysis (Pierson); Juvenile osteochondrosis of the femoral head (Legg-Calve-Perthes); Flat coxa: Hip deformity due to a previous juvenile osteochondrosis; Pseudocoxalgia; Other juvenile osteochondrosis of the hip and pelvis: Juvenile osteochondrosis after reduction of a congenital dislocation of the hip; Juvenile osteochondrosis of the hip and pelvis unspecified;

2. Other juvenile osteochondrosis – Juvenile osteochondrosis of the humerus: Osteochondrosis (juvenile) a: humeral condyle (Panner), head of the humerus (Haas); Juvenile osteochondrosis of the radius and cubitus: Osteochondrosis (juvenile) of: semilunara (Kienbock), head of metacarpals (Mauclaire); Other juvenile osteochondrosis of the upper limb; Juvenile osteochondrosis of the patele: Osteochondrosis (juvenile) of: primary patelar center (Kohler), secondary patelar center (Sinding-Larsen); Juvenile osteochondrosis of the tibia and peroneum: Osteochondrosis (juvenile) of: proximal tibia (Blount), tibial tubercle (Osgood-Schlatter), Tibia vara; Juvenile osteochondrosis of the metatarsus: Osteochondrosis (juvenile) a: the fifth metatarsal (Iselin), the second metatarsal (Freiberg); Other juvenile osteochondrosis specified: Apophysite of the calcaneus; Unspecified juvenile osteochondrosis: Apophysite specified as juvenile with unspecified localization, Epiphysite specified as juvenile with unspecified localization, Ostechodritis specified as juvenile with unspecified localization, Osteochondrosis specified as juvenile with unspecified localization;

3. Other osteochondrotics – excludes osteochondrosis of the spine – Slipped upper femoral epiphysis (nontraumatic); Kienbock's disease in adults: osteochondrosis in the adult of the lunar carpal bone; Dissecting osteochondritis; Other specified osteochondropathies; Unspecified osteochondropathy; Apophysite not specified as juvenile or in adults with unspecified localization, Epiphysite specified as juvenile or in adult with unspecified localization, Osteochondritis specified as juvenile or in adult with unspecified localization, Osteochondrosis specified as juvenile or in adults with unspecified localization;

4. Other diseases of cartilage – Syndrome of chondro-costal junction (Tietze); Relapsing polycholetritis; Chondromalacia – excludes condeomalacia patelei; Condroliza; Other specified diseases of cartilage; Unspecified cartilage disease;

I. Other diseases of the musculoskeletal system and connective tissue.

I1. Other acquired deformities of the musculoskeletal system and connective tissue – exclude acquired(a): absence of a limb or organ, limb deformities, congenital malformations and deformities of the musculoskeletal system, deforming dorsopations, dento-facial anomalies (including malocclusion), post-proprocedural musculoskeletal disorders;

1. Acquired deformity of the nose – excludes the deviation of the nasal septum; Ears in "cabbage blossom" – excludes: other acquired deformities of the ear; Other acquired deformities of the head; Acquired deformity of the neck; Acquired deformity of the chest and ribs; Acquired deformity of the pelvis – excludes maternal care for suspected or known disproportion; Other acquired deformities of the musculoskeletal system; Acquired deformity of the musculoskeletal system unspecified;

2. Post-proprocedural musculoskeletal disorders not elsewhere classified – exclude arthropathy following the intestinal bypass, conditions associated with osteoporosis, the presence of a functional implant and other devices – Pseudoarthrosis after fusion or arthrodesis; Pseudo-laminectomy syndrome unclassified elsewhere; Kyphosis after irradiation; Kyphosis after laminectomy; Postprocedural lordosis; Scoliosis after irradiation; Bone fracture after insertion of an orthopedic implant, of an articular prostesis; Bone fracture after insertion of an orthopedic implant, joint prosthesis or bone plate – excludes complications of an internal orthopedic device, implants or grafts; Other post-professional disorders of the musculoskeletal system: Instability of a joint after the removal of a prostitute; Post-professional disease of the musculoskeletal system unspecified;

3. Biomechanical lesions not elsewhere classified (this category should not be used if the disease can be classified elsewhere) – Segmental and somatic dysfunction; Complex subluxation (vertebral); Spinal canal stenosis by subluxation; Bone stenosis of the spinal canal; Stenosis of the spinal canal through connective tissue; Stenosis of the spinal canal by disc lesion; Bone stenosis and by dislocation of the intervertebral orifices; Stenosis of connective and disc tissue at the level of intervertebral windows; Other biomechanical lesions; Unspecified biomechanical lesion;

Dorin, Merticaru