title: Mandibular coronoid fractures, how rare?
abstract: To study the rarity of mandibular coronoid process fractures and treatment strategies based on the displacement of these fractures.
  
  
  
  A retrospective study of 11 cases of coronoid process fractures among 307 treated cases from 2008 to 2013 was conducted. Six patients were treated conservatively and 5 underwent ORIF with associated fractures. A statistical analysis of the data obtained after subjective and objective evaluation was done.
  
  
  
  The incidence of coronoid process fractures was 3.58% of all mandibular fractures analyzed. There was no statistically significant difference found between two treatment modalities, but differences in maximum interincisal opening (MIO) and pain in the postoperative period were significant.
  
  
  
  We recommend that linear coronoid fractures with minimal displacement can be managed with conservative treatment. For patients with significant displacement of coronoid process, limited mouth opening or concomitant mid-face or lower-face fractures, rigid internal fixation is recommended.
authors.affiliation: Professor, Department of Oral and Maxillofacial Surgery, VK Institute of Dental Sciences, KLE University, Belgaum, Karnataka, India, Phone: +919448472891, e-mail: tejrajkale@yahoo.com.
authors.forename: Tejraj P
authors.initials: TP
authors.lastname: Kale
authors.affiliation: Department of Oral and Maxillofacial Surgery, VK Institute of Dental Sciences, KLE University, Belgaum, Karnataka, India.
authors.forename: Vipin
authors.initials: V
authors.lastname: Aggarwal
authors.affiliation: Department of Oral and Maxillofacial Surgery, VK Institute of Dental Sciences, KLE University, Belgaum, Karnataka, India.
authors.forename: S M
authors.initials: SM
authors.lastname: Kotrashetti
authors.affiliation: Department of Oral and Maxillofacial Surgery, VK Institute of Dental Sciences, KLE University, Belgaum, Karnataka, India.
authors.forename: J B
authors.initials: JB
authors.lastname: Lingaraj
authors.affiliation: Department of Oral and Maxillofacial Surgery, VK Institute of Dental Sciences, KLE University, Belgaum, Karnataka, India.
authors.forename: Arjun
authors.initials: A
authors.lastname: Singh
mesh_terms: D000328:Adult; D000072700:Conservative Treatment / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D000072039:Fracture Dislocation / Q000453:epidemiology; D005593:Fracture Fixation, Internal / Q000706:statistics & numerical data; D000069076:Fractures, Multiple / Q000453:epidemiology; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries; D008337:Mandibular Fractures / Q000453:epidemiology*; D008875:Middle Aged; D035583:Rare Diseases; D012189:Retrospective Studies; D015051:Zygomatic Fractures / Q000453:epidemiology
keywords: Coronoid fracture; Mandibular fracture; Open reduction; Internal fixation.