Harrington criteria (pathological fracture risk)
Citation, DOI, disclosures and article data
At the time the article was created Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosuresAt the time the article was last revised Daniel J Bell had no financial relationships to ineligible companies to disclose.
View Daniel J Bell's current disclosures- Harrington's criteria
- Pathological fracture risk: Harrington's criteria
- Harrington's criteria of pathological fracture risk
Harrington criteria can be used to predict which long bone skeletal metastases are at high risk of pathological fracture and should undergo prophylactic internal fixation. It preceded the Mirels classification for impending pathological fracture but has not been validated and its use is debated 1,2.
Classification
>50% cortical bone destruction
lesion >2.5 cm in size
pathological avulsion fracture of the lesser trochanter
functional pain after radiation therapy
References
- 1. Piccioli A, Spinelli MS, Maccauro G. Impending fracture: A difficult diagnosis. (2014) Injury. 45 Suppl 6: S138-41. doi:10.1016/j.injury.2014.10.038 - Pubmed
- 2. Harrington KD. Impending pathologic fractures from metastatic malignancy: evaluation and management. Instructional course lectures. 1986 Jan 1;35:357-81.
- 3. Intramedullary Nailing: A Comprehensive Guide. Springer. ISBN:B00S5XKUGI. Read it at Google Books - Find it at Amazon
- 4. Browner BD, Jupiter JB, Krettek C et-al. Skeletal Trauma: Expert Consult (Browner, Skeletal Trauma). Saunders. ISBN:B00QT83ORI. Read it at Google Books - Find it at Amazon
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