The best treatment for condylar fractures is controversial. Several theories exist in literature which related to the cause of condylar hyperplasia. It is believed the necrosis caused his summer condylar fracture. In disc displacement without reduction the disc stays anterior to the condylar head upon opening. Pediatric condylar fractures have special protocols for management. Unilateral condylar fracture may cause restricted and painful jaw movement. Condylar hypoplasia is known as underdevelopment of the mandibular condyle. Bilateral condylar fractures combined with a symphyseal fracture is sometimes termed a guardsman's fracture. Orthognathic surgery can be performed once the active condylar growth has finished in some cases. It is estimated that about 30% of people with facial asymmetry express condylar hyperplasia. Condylar hyperplasia predominantly affects women with 64% of patients being women. Condylar heads are said to be at a maximum anterior-inferior position. In children, a posterior fat pad sign suggests a condylar fracture of the humerus. Bilateral condylar fractures may cause the above signs and symptoms, but on both sides. Pediatric condylar fractures have higher rates of ankylosis and the potential for growth disturbance.