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Dentistry · Oral and maxillofacial surgery and facial fractures: displacement in condylar fractures
Sample itemIn a fracture of the condylar neck, the condylar head is usually pulled anteriorly and medially out of the glenoid fossa. Which muscle is responsible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Lateral pterygoid
The lateral pterygoid inserts into the pterygoid fovea of the condylar neck and the articular disc. Its pull displaces the fractured head forwards and medially, while the elevators shorten the ramus.
Option by option
A. Temporalis
The temporalis inserts on the coronoid process.
B. Masseter
The masseter inserts into the lateral ramus and angle and elevates the mandible.
C. Lateral pterygoid (correct)
Correct. The lateral pterygoid pulls the head anteromedially.
D. Medial pterygoid
The medial pterygoid inserts on the medial surface of the angle.
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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