Femoral nail impingement with the quadriceps: an ultrasound case report on orthopedic hardware conflict

Femoral shaft fractures are commonly treated with intramedullary nailing; however, this procedure can lead to complications. This study explores the role of ultrasound in diagnosing femoral hardware impingement. We present the findings in two patients with persistent thigh pain after femoral intramedullary nailing. Ultrasound successfully identified hardware impingement. Removal of the offending screw led to symptom resolution, with a follow-up US confirming the absence of residual conflicts.

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Publication Details

Journal
Medical Ultrasonography
Published
2025-12-09
DOI
https://doi.org/10.11152/mu-4561
Primary Topic
Bone fractures and treatments
Type
article
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article

Femoral nail impingement with the quadriceps: an ultrasound case report on orthopedic hardware conflict

Marco Becciolini, Filippo Cotellessa, Luca Puce, Orlando Catalano et al.
Medical Ultrasonography
Bone fractures and treatments
article

Femoral nail impingement with the quadriceps: an ultrasound case report on orthopedic hardware conflict

Marco Becciolini, Filippo Cotellessa, Luca Puce, Orlando Catalano, Riccardo Pedrini, Carlo Trompetto, William Campanella, Salvatore Massimo Stella, Michele Bisogni
article en

Abstract

Femoral shaft fractures are commonly treated with intramedullary nailing; however, this procedure can lead to complications. This study explores the role of ultrasound in diagnosing femoral hardware impingement. We present the findings in two patients with persistent thigh pain after femoral intramedullary nailing. Ultrasound successfully identified hardware impingement. Removal of the offending screw led to symptom resolution, with a follow-up US confirming the absence of residual conflicts.

Medical UltrasonographyVol. 28(1)
University of Pisa (IT), Piaggio (Italy) (IT), Istituto storico italiano per il Medio Evo (IT), Ospedale Policlinico San Martino (IT), Misericordia University (US), University of Genoa (IT)
Openalex Percentile: Top 54%
Bone fractures and treatments
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