Greenstick fracture of the mandible: A case report

Abstract

This case report is an insight in to pediatric traumatology whereby bilateral greenstick fracture of condyle is used as a means to discuss the incidence and anatomic considerations for the management of the same, highlighting the fact that dental surgeons require a unique understanding of the anatomy, growth considerations, healing pattern and operative management involving minimal manipulation while managing pediatric facial fractures.

Conservative orthodontic fixed appliance management of pediatric mandibular bilateral condylar fracture

“…Most mandibular condylar fractures involve the condylar neck, with a few reports of intracapsular fractures. 22 Direct impact usually leads to a unilateral fracture because the weak condylar neck breaks easily, 23 and there is no intracranial displacement. 24 In this study, the nature and location of the fractures, being bilateral, strongly suggested that the condylar fractures were caused by indirect forces transmitted to the condyles from a blow to the mandible.…”

Çocuklarda kondil kırıklarında konservatif yaklaşım: bir olgu sunumu

“…[2][3][4] Pediyatrik kemik kırıkları özel bir patolojidir, çünkü bu hızla büyüyen kemikler üzerinde gerçekleşir.…”

Conservative Approach to Unilateral Condylar Fracture in a Growing Patient: A 2.5-Year Follow Up

“…The anatomical level of the condylar fracture is divided into three sites: the condylar head (intracapsular), the condylar neck (extracapsular) and the subcondylar region [4]. Although the condyle is well protected in the glenoid fossa, its neck is a relatively fragile area [5].…”

“…Although the condyle is well protected in the glenoid fossa, its neck is a relatively fragile area [5]. The subcondylar fracture, which was associated with a green-stick fracture, is usually seen at the age of less than 6 years due to the fact that a child’s bone is more flexible, so that it can be more likely bent rather than a complete breakage [4]. …”

“…Some studies demonstrated that, after fracture of the mandibular condyle in children, there is an excellent chance that the condylar process would regenerate to approximately its original size and a small chance that it would overgrow after the injury if an adequate function can be obtained [4, 6]. It was reported that the presence of the articular disc and capsule seems to play an important role in this process [2, 6].…”