Score | Size | Site | Radiographic nature | Degree of pain |
1 | 1/3 of cortex | Upper extremity | Osteoblastic lesions | Mild |
2 | 1/3 to 2/3 of cortex | Lower extremity | Mixed osteolytic and osteoblastic lesions | Moderate |
3 | More than 2/3 of cortex | Peritrochanteric region | Purely osteolytic lesions | Limits function |
Points | Fracture risk | Recommendation | ||
≤7 | <10% | Observe | ||
8 | 15% | Consider fixation | ||
≥9 | 33% for 9 points, >50% for 10 points or more | Prophylactic fixation |
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