Mirel's score explained
Mirels' score is a tool useful in the management of bone tumors, by identifying those patients who would benefit from prophylactic fixation if they have a high enough risk of pathological fracture.
Scoring
A score of 1 to 3 is given for four criteria and summed together. A score greater than 8 suggests prophylactic internal fixation prior to irradiation.
| Criteria[1] | Score |
|---|
| 1 | 2 | 3 |
| Site | Upper limb | Lower limb | Peritrochanteric |
| Pain | Mild | Moderate | Functional |
| Lesion | Blastic | Mixed | Lytic |
| Size | <⅓ | ⅓-⅔ | >⅔ | |
Further reading
- 10.1302/0301-620X.94B10.30509 . 23118375 . Metastatic disease around the hip: Maintaining quality of life . Journal of Bone and Joint Surgery . 94 . 11 Suppl A . 22–5 . 2012 . Haidukewych . G. J. .
- 10.2217/ahe.09.30 . Management of long-bone metastases: A surgical perspective . Aging Health . 5 . 3 . 313–21 . 2009 . Al-Ghamdi . Ahmed . Hings . Ingrid . Turcotte . Robert E .
- 10.1016/S0030-5898(05)70181-4 . 11043102 . Metastatic Disease of the Femur . Orthopedic Clinics of North America . 31 . 4 . 633–45 . 2000 . Ward . William G. . Spang . Jeff . Howe . David .
- 10.1159/000343556 . 24917780 . 4024504 . Tibial Metastasis from Muscle Invasive Bladder Carcinoma: An Unusual Site . Current Urology . 7 . 3 . 160–2 . 2013 . Brennan . David . Kelly . Michael E. . Nason . Gregory J. . Collins-Smyth . Coilin . McGuire . Barry B. . Lennon . Gerald M. .
- 10.4103/0019-5413.143915 . 25593359 . 4292329 . Management of skeletal metastases: An orthopaedic surgeon′s guide . Indian Journal of Orthopaedics . 49 . 1 . 83–100 . 2015 . Agarwal . Manishg . Nayak . Prakash . free .
- Book: Craig H. . Gerrand . Kenneth . Rankin . 2014 . Metastatic Disease in Long Bones. A Proposed Scoring System for Diagnosing Impending Pathologic Fractures . 10.1007/978-1-4471-5451-8_123 . https://books.google.com/books?id=cOu9BAAAQBAJ&pg=PA479 . Paul . Banaszkiewicz . Deiary F. . Kader . Classic Papers in Orthopaedics . 479–80 . 978-1-4471-5450-1 .
External links
Notes and References
- 2684463 . 1989 . Mirels . Hilton . Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures . Clinical Orthopaedics and Related Research . 249 . 249 . 256–64 . 10.1097/00003086-198912000-00027. Republished as: 10.1097/01.blo.0000093045.56370.dd . 14600587 . The Classic: Metastatic Disease in Long Bones a Proposed Scoring System for Diagnosing Impending Pathologic Fractures . Clinical Orthopaedics and Related Research . 415 . 415 Suppl . S4–13 . 2003 . Mirels . Hilton . 43255503 .
