Consider pathological fractures if there is a history of low force impact
Fractures of the femoral shaft usually result from high force impact such as in a road traffic crash. Injury often results in highly displaced fractures which are easily recognised both clinically and radiologically.
If there is a fracture of the femoral shaft without a history of high force trauma then the possibility of a pathological fracture should be considered.
Standard views
Anterior-Posterior (AP) and Lateral. Several images may be required to ensure at least 2 views covering the whole length of the femur.
