Mirels Score Sponsored Advertising placement Mirels Score Clinical Decision Tool Estimates pathological fracture risk in long-bone metastases using the Mirels score. Site Upper limb Lower limb Peritrochanteric Pain Mild Moderate Functional pain Lesion Type Blastic Mixed Lytic Lesion Size Relative to Bone Diameter Less than one third One third to two thirds More than two thirds Calculate Mirels Score Clear Calculator ☆ Log in to save Save this calculator to your MDPDA account. + Add to Toolkit Log in to save incomplete calculator progress and return later. Log in to save progress Clinical Decision Support Only MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress. Read our Clinical Disclaimer Sponsored Advertising placement