Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
trauma topic hub

Pauwels Classification — Femoral Neck (Shear Angle)

Type I: 50° (most vertical → highest shear). Higher angle = higher shear → instability, nonunion risk; stronger fixation needed.

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Type I: <30°; Type II: 30–50°; Type III: >50° (most vertical → highest shear). Higher angle = higher shear → instability, nonunion risk; stronger fixation needed.
MCQs

High-yield practice questions

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Question 1

What is the Pauwels classification primarily used for in orthopaedics?

Question 2

Which Pauwels classification type corresponds to a fracture angle of less than 30°?

Question 3

What is the risk of non-union associated with Pauwels Type III fractures?

Question 4

How does the angle of the fracture line in Pauwels Type II fractures influence the forces at the fracture site?

Question 5

Why is it important to understand the Pauwels angle in the management of femoral neck fractures?

Question 6

In which type of Pauwels fracture is the risk of non-union the lowest?

Question 7

What type of fixation is generally recommended for Pauwels Type I femoral neck fractures?

Question 8

Which of the following statements is true regarding Pauwels Type III fractures?

Question 9

Which of the following is characteristic of Pauwels Type II fractures?

Question 10

What is the primary concern with femoral neck fractures in elderly osteoporotic patients?