Oral Surgery · single question

In a mandibular condylar (subcondylar) fracture, the condylar fragment most classically displaces in which direction?

  1. Posteriorly
  2. Medially (anteromedially, due to unopposed pull of the lateral pterygoid muscle)
  3. Laterally
  4. It remains in normal anatomic position
Show answer and explanation

Correct answer: B. Medially (anteromedially, due to unopposed pull of the lateral pterygoid muscle)

Once a subcondylar fracture occurs, the condylar fragment loses its capsular stabilization and is pulled medially (more precisely, anteromedially) by the unopposed action of the lateral pterygoid muscle, which inserts on the pterygoid fovea of the condylar neck.

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