Mirels’ score for upper limb metastatic lesions: do we need a different cutoff for recommending prophylactic fixation?
JSES International(2022)
摘要
This study demonstrates moderate to substantial agreement between and within raters using Mirels' score on upper limb radiographs. However, Mirels' score had a poor sensitivity and specificity in predicting upper extremity fractures. Until a more valid scoring system has been developed, based on our study, we recommend a Mirels' threshold of ≥7/12 for considering prophylactic fixation of impending upper limb pathologic fractures. This contrasts with the current ≥9/12 cutoff, which is recommended for lower limb pathologic fractures.
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关键词
Basic Science Study,Validation of Classification System
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