Retrograde Femoral Nailing Complicated by Spurious Fracture of the Femoral Neck


The presence of a fracture of the femoral neck and ipsilateral diaphyseal femur fracture has been reported previously. In all femoral shaft fractures, scrutiny of the femoral neck is mandatory in order to direct proper management toward this potentially devastating complication. This report discusses a case of an intraoperative radiographic artifact secondary to retrograde nailing of a femoral shaft fracture which may be interpreted as an occult or iatrogenic ipsilateral fracture of the femoral neck. The etiology of this artifact and its proper interpretation are described. (Journal of Surgical Orthopaedic Advances 14(1):32–36, 2005)

SKU: JSOA-2005-14-1-SP5 Categories: , Tags: , ,

Jason J. Scalise, MD, Berton R. Moed, MD