Pontuação de Mirels

A pontuação ou score de Mirels é uma ferramenta útil na gestão de tumores ósseos, identificando os pacientes que podem beneficiar de fixação profilática no caso de apresentarem alto risco de fratura patológica.

Pontuação

Uma pontuação de 1 a 3 é dada a quatro critérios que são posteriormente somados. Uma pontuação maior que 8 sugere benefício de fixação interna profilático antes de tratamento à base de radioterapia.

Critérios[1] Pontuação
1 2 3
Local Membro superior Membro inferior Peritrocantérico
Dor Leve Moderado Funcional
Lesão Blástica Mista Lítica
Tamanho <⅓ ⅓ - ⅔ >⅔

Referências

  1. ↑ «Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures». Clinical Orthopaedics and Related Research. PMID 2684463. doi:10.1097/00003086-198912000-00027  Republished as: «The Classic: Metastatic Disease in Long Bones a Proposed Scoring System for Diagnosing Impending Pathologic Fractures». Clinical Orthopaedics and Related Research. 415. PMID 14600587. doi:10.1097/01.blo.0000093045.56370.dd 

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