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Bilateral femoral fractures (Clements-Nakayama view)

Case contributed by Andrew Murphy


High-speed motor vehicle accident, bilateral femoral fractures.

Patient Data

Age: 30 years

On the imaging of the left femur, there is a comminuted fracture through the left proximal third femoral diaphysis that is transversely oriented, including complete medial and posterior translation and proximal retraction of the fracture segment.

On the imaging of the right femur, there is a transverse fracture through the proximal third of the right femoral diaphysis, including complete lateral translation and proximal retraction.

Case Discussion

The Clements-Nakayama view of the hip is a highly specialized lateral projection utilized on patients with bilateral femoral fractures, or patients unable to mobilize due to postoperative requirements. 

The projection is technically demanding, however, valuable in the context of trauma radiography. 

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Case information

rID: 55944
Published: 1st Oct 2017
Last edited: 14th Aug 2019
System: Trauma
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

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