Presentation
This is a case study on an x-ray phantom to demonstrate different imaging techniques of the Clements-Nakayama projection.
Note the difference the tube angle has on the appearance of the proximal femur, if a neck of femur fracture is suspected, a 10-15 degree angle with cephalad angle to the neck of the femur is most appropriate.
Note the difference the tube angle has on the appearance of the proximal femur, if a neck of femur fracture is suspected, a 10-15 degree angle with cephalad angle to the neck of the femur is most appropriate.
Case Discussion
The Clements-Nakayama view of the proximal femur is a highly specialized lateral projection utilized on patients with bilateral femoral fractures, or patients unable to mobilize due to postoperative requirements.
The angle of the x-ray tube will depend on the anatomy required.
Thanks to Linus Chin for performing these radiographic projections to aid this case study.