Figure 3: A 48-year-old male with a left clavicle fracture sustained playing rugby. (a) Acute lateral clavicle fracture. Although the ligaments have not ruptured, they have avulsed the inferior aspect of the clavicle and are therefore de-functioned. (b) Intra-op fluoroscopic image showing satisfactory reduction. (c) Follow-up radiograph showing plate pullout. (d) Revision with hook plate