Clue: Pugilist's complaint about shoulder, essentially — I'm afraid of boxing shame? (11,3)
Answer: CAULIFLOWER EAR
Explanation: Definition: Pugilist's complaint

**Ca.** (circa, so "about") + sho(**UL**)der [*essentially*] + **I FEAR** ("I'm afraid") *boxing* **LOWER** ("shame"), so **Ca-UL-I F(LOWER)EAR