OSICS ­ The Orchard Sports Injury Classification System

The Orchard Sports injury Classification System has been developed for the coding injuries in football injury surveys. The range of diagnoses is broad enough for use in most other sports, as long as coding is made by practioners who are familiar with sporting injuries Contained within the OSICS code of three alphanumeric characters are the relevant body area (first character) and type of pathology (second character). Please note that OSICS is only a list of common diagnoses and must be used in conjunction with a larger database structure for a complete injury survey.

Currently, this system is being used by the Australian institute of Sport, the major football competitions in Australia and some sports medicine centers Copyright is owned by Dr. John Orchard, but use of the system for research is free and encouraged by the author Potential uses include to compile an injury database and statistics, archiving of files and comparison of injury probes between groups.

Address for correspondence: Or John Orchard, South Sydney Sports Medicine,111 Anzac Pde, Kensington NSW 2033, Australia

FIRST CHARACTER (BODY AREA)

Head + Neck
H - Head
N - Neck

Upper Limb
S - Shoulder
U - Upper Arm
E - Elbow
R - Forearm
W - Wrist
P - Hand

Trunk
C - Chest
O - Abdomen
D - Thoracic spine
L - Lumbar spine

Lower Limb
B - Buttock
G - Groin / Hip
T - Thigh
K - Knee
Q - Lower Leg
A - Ankle Heel
F - Foot

General
X - Multiple Areas
M - Medical Problem
Z - Area Not specified

SECOND CHARACTER (Type of Pathology)

Bone
F - Fracture
G - Avulsion /chip fracture
S - Stress fracture
Q - Old fracture mal / non union

Joint
D - Dislocation
U - Recurrent instability / subluxation
C - Chondral / articular cartilage / meniscal damage
J - Minor joint problem +/- synovitis
P - Atraumatic arthritis / effusion / joint pain / chronic synovitis / gout /
other rheumatological condition
A - Degenerative arthritis including avascular necrosis
L - Ligament tear or sprain

Soft Tissue
M - Muscle tear or strain
Y - Muscle spasm / cramps / soreness / trigger points / overuse / myalgia
T - Tendonitis / bursitis / enthesopathy / apophysitis / periostitis
R - Complete rupture of tendon
H - Haematoma / bruising / cork
K - Laceration / skin condition

Other
B - Developmental abnormality
I - Infection
E - Tumours
O - Visceral damage / trauma / surgery
N - Neural condition / nerve damage
V - Vascular condition
W8** - Reflex sympathetic Dystrophy
X - Systemic disease process
Z - Undiagnosed

THIRD CHARACTER
1 to 7 Common diagnoses (see list)
8 Used when making a diagnosis not included on the common diagnosis list
9 Character used when specific diagnosis is not known or supplied
A to Z Special diagnoses used for individual research centre or research.