Fractures of the medial portion of the clavicle occur infrequently in children and account for only about 5% of all pediatric clavicular fractures. In many males, a clavicular medial physis does not close completely until 24 to 26 years of age.1 In our case report, 17-year-old male was injured following a direct fall on shoulder. In the Emergency Department, we identified a medial clavicle physeal fracture with anterior dislocation after standard chest radiography and 'serendipity' view. In total intravenous anesthesia, we reduced the fracture and immobilized with Desault cast for 21 days and figure- of- eight dressing 3 weeks more. We didn't notice any functional deficit nor cosmetic defect.