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Contemporary opinion strongly concurs that isolated intracapsular fractures, in almost every instance, should be treated solely with physical therapy. Based on the premise that although these fractures can result in significant anatomic/radiologic changes in the appearance of the condyle itself, most patients with these fractures recover very well if adequately rehabilitated. However, in our study four cases of high condylar head (diacapitular) fractures were managed by surgically removing the fractured condylar head as it was obstructing mandibular function.

Condylar Segment Removal in the Management of Diacapitular Mandibular Fractures