Pauwels

classification of femoral neck fractures

Classifies femoral neck fractures by the angle of the fracture line from the horizontal, predicting shear and nonunion risk.

vigentePauwels1935XR

Aplicar o Pauwels a um achado

Descreva o achado como no laudo. A resposta aponta uma das categorias publicadas, com a probabilidade e o trecho que a decide.

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Categorias

Reescritas a partir da fonte e citadas
I
1 de 3

Type I (low angle)

Femoral neck fracture line oriented less than 30 degrees from the horizontal on the AP radiograph (Pauwel's angle <30 degrees).

CondutaThe least vertical, most stable pattern; lowest shear, generally amenable to internal fixation.
RiscoLower fracture-line angle means lower shear stress at the fracture and the lowest nonunion risk of the three grades.
verificadoPauwel's angleWikipedia 'Pauwel's angle', classification table (type I <30 degrees) and Clinical Use section ('An increasing angle leads to a more unstable fracture and an increase in the shear stress... higher rates of nonunion').
II
2 de 3

Type II (intermediate angle)

Fracture line oriented between 30 and 50 degrees from the horizontal (Pauwel's angle 30-50 degrees).

CondutaIntermediate obliquity; Pauwels recommended internal fixation for fractures with inclination angles of 30-50 degrees.
RiscoIntermediate shear stress and nonunion risk, between types I and III.
verificadoPauwel's angleWikipedia 'Pauwel's angle', classification table (type II 30-50 degrees) and Clinical Use section (internal fixation recommended for 30-50 degree angles; shear/nonunion rise with angle).
III
3 de 3

Type III (high/vertical angle)

Vertical fracture line oriented greater than 50 degrees from the horizontal (Pauwel's angle >50 degrees).

CondutaMost vertical, least stable pattern; Pauwels recommended valgus osteotomy for inclination angles greater than 50 degrees.
RiscoGreatest shear stress at the fracture site and the highest nonunion risk of the three grades.
verificadoPauwel's angleWikipedia 'Pauwel's angle', classification table (type III >50 degrees) and Clinical Use section (valgus osteotomy for >50 degrees; highest shear and nonunion).
Lógica de decisão estruturada
{
  "categories": [
    "I",
    "II",
    "III"
  ]
}

Referência, não é dispositivo médico. Confira a publicação primária vigente. O radiologista que assina o laudo continua autor e responsável.