Presentation
High-speed motor vehicle accident, bilateral femoral fractures.
Patient Data




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.