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1. Condylar fractures
Etiology
Usually indirect trauma
E.g. Injury to symphysis results in
bilateral condyle fractures
Injury to canine area opposite side
condyle fracture
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3. Condylar fractures
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4. Condylar fractures
Classification
• Anatomical
• Intra capsular or extra capsular
• Clinical
• No displacement, deviation,
displacement, dislocation
• Depending on side
• Unilateral or bilateral
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6. Condylar neck fractures
Spiessl and Schroll classification
Type I Fracture without serious dislocation
Type II  Deep seated fracture with dislocation
Type III  High fracture with dislocation
Type IV Deep seated fracture with luxation
Type V High fracture with luxation
Type VI Condylar head or intra capsular fracture
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7. Condylar fractures
Clinical features
•Swelling over T.M.joint
•Bleeding from the ear
•Inability to open the mouth
•Occlusal derangement
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8. Condylar fractures
Clinical features:unilateral
• Deviation of the jaw to fractured
side on opening
•Mid line shift to the fractured side
• Lateral movement to opposite side
is limited
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9. Condylar fractures
Clinical features:bilateral
• Gagging of posterior teeth
•Anterior open bite
• Lateral movements limited
bilaterally
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10. Condylar fractures
Diagnosis:Radiographs
• Orthopantmograph
• Trans cranial, orbital, pharyngeal views
• Lateral oblique views
• P. A. view
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11. Condylar fractures
Management
•No active treatment
•Brief period of immobilization
followed by jaw opening exercises
•Open reduction
Trans osseous wiring
Bone plates
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13. Condylar fractures
Complications
Ankylosis
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