Introduction: Acromioclavicular dislocation constitutes 12% of all shoulder girdle injuries. It is common in male athletes. Treatment of Rockwood type III acromioclavicular dislocation is controversial and extensively debated in the literature. When surgery is indicated which surgical procedure produces best functional outcome is still debatable. Aim:Aim of the study is to compare the clinical and radiological outcome of Bosworth screw and double loop Endobutton technique for the treatment of Rockwood type III acromioclavicular dislocation. Materials and Methods:20 patients were surgically treated for Rockwood type III acromioclavicular dislocation. Patients were divided into two groups by randomized control trial. Group A(n=10) was treated with Bosworth screw and Group B(n=10) was treated with double loop endobutton technique. All patients were followed up at 4 weeks, 3 months, 6 months and 12 months. Clinical outcome was assessed by Constant Murley score and radiological outcome was assessed by coraco-clavicular distance(CCD) in each follow-up. Results:The mean Constant-Murley score at 4 weeks, 3 months, 6 months and 12 months were higher in group B as compared to group A, which was statistically significant(p value <0.05).At the end of 12 months the mean Constant-Murley score in group A was 83.13±4.86 and in group B was 94.30±2.47. There was no statistically significant difference seen in terms of CCD between the two groups. In terms of complications, 1 patient in group A showed screw loosening and backout. No postoperative complications were seen in group B. Discussion and Conclusion:The double loop endobutton technique showed better functional outcomes and lesser complications and can be a better alternative to Bosworth screw fixation in the treatment of Rockwood type III acromioclavicular dislocation.