A 16-year-old boy admitted to our institution with history of right shoulder pain and limitation of movement following a fall while playing football. He was seen in the Emergency Department and clinical examination showed tenderness around lateral half of clavicle. An A-P radiograph was taken (Fig. 1) and subsequently reassured and discharged. One month later the patient re-presented due to continued pain around lateral clavicle with small palpable lump. During this visit, further radiograph of clavicle obtained (Fig. 2), which showed a displaced physeal injury to lateral end of clavicle. Subsequently, a magnetic resonance imaging scan was performed to assess the extent of the injury (Fig. 3). Given that this case was missed and presented late, a multidisciplinary team meeting decision was made to accept the deformity and treat non-operatively.