Distal clavicular fracture

Clinical History:
10 yr old male who injured right clavicle while playing on a trampoline 5 days prior to presentation.

Diagnosis:
Distal clavicular fracture with moderate sprain of the trapezoid portion of the coracoclavicular ligament. Tear of the conoid portion of the coracoclavicular ligament.

MR Technique:
1.5 T with shoulder coil. Image 1: Coronal T2 fat saturated turbo spin echo TR/TE 65040/75 ms, slice thickness 3 mm, scan time 5 min 04 sec; Image 2: Coronal STIR TR/TE 64150/35 ms, slice thickness 3 mm, scan time 3 min 7 sec; Image 3: T2 Sagittal turbo spin echo TR/TE 64130/75 ms, slice thickness 3 mm, scan time 4 min 30 sec.

Imaging Findings:
A displaced fracture of the distal clavicle is noted with the proximal fracture fragment displaced superiorly by approximately one shaft width. The trapezoid portion of the coracoclavicular ligament shows edema suggestive of a moderate sprain. Tear of the conoid portion of the coracoclavicular ligament is noted.