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Dentistry · Oral and maxillofacial surgery: unilateral condylar fracture
Sample itemA man hit on the chin has pain in front of the left ear. On opening, the jaw deviates to the left, and the teeth contact early on the left side. Which injury is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Left condylar fracture
With a unilateral condylar fracture the lateral pterygoid on the fractured side cannot be opposed, so the mandible deviates toward the injured side on opening. Premature contact occurs on the fractured side because of ramus shortening.
Option by option
A. Left condylar fracture (correct)
Correct. Deviation toward the left suggests a left condylar fracture.
B. Fracture of the zygomatic arch
A zygomatic arch fracture causes trismus by impinging on the coronoid.
C. Fracture of the coronoid process
Coronoid fractures cause trismus but not deviation.
D. Right condylar fracture
A right fracture would deviate the jaw to the right.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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