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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