Bilateral femoral fractures (Clements-Nakayama view)

Case contributed by Mr Andrew Murphy

Presentation

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 orientated, 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 specialised lateral projection utilised on patients with bilateral femoral fractures, or patients unable to mobilise due to postoperative requirements. 

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

PlayAdd to Share

Case information

rID: 55944
Case created: 1st Oct 2017
Last edited: 2nd Oct 2017
System: Trauma
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.