FIGURE 111.9 Radiograph of the right clavicle of a 5-year-old child A: A lateral clavicular fracture (open arrow ) and widening of the space between the clavicle and the coracoid process (small arrows ) are evident on the initial film B: The pattern of new bone formation (arrows ) seen on the follow-up radiograph demonstrates that the periosteum and the ligaments have remained intact inferiorly Management Plain radiographs with dedicated clavicle views are diagnostic in the majority of clavicular injuries ( Fig 111.9 ) The rare instance of posterior sternoclavicular fracture displacement is an exception, as this is the last physis of