Methods: 20 adult patients with acromioclavicular joint dislocatios were treated with coracoclavicular screw fixation. under brachial plexus block all the dislocations were fixed using a vertical incision at lateral 1/3rd of clavicle under image intensifier assistance using a 4 mm cannulated cancellous screw across clavicle and coracoid. There were 15 males and 5 females with an average age of 35.75 years (21-60 years). All the patients were followed over a period of 2 years and results were analyzed.

Results: 17 (85%) dislocations healed within an average time of 8 weeks, in 3 (15%) dislocations screw back out occurred. Functional results were excellent in 16 (80%), moderate in 4 (20%) due to shoulder stiffness.

Conclusion: Coracoclavicular screw fixation offers a safe and reliable method of fixing acromioclavicular joint dislocations, with early healing. It provides early rehabilitation and reduces the hospital stay.