Background: Adolescents that are active often suffer from injuries in and around the shoulder joint, such as acromioclavicular joint injuries. The present study was conducted to assess outcome of mersilene tape and ethibond suture in the management of acromioclavicular (AC) injuries. Materials & Methods: 46 cases with acromioclavicular (AC) injuries of both genders presented with isolated, closed, grade III or more as per Rockwood classification system of AC joint disruption were treated with mersilene tape and ethibond suture. All patients were evaluated functionally using Visual analog scale (VAS) and Constant and Murley scores and radiological for re-displacement and fixation. Results: Group I had 13 males and 10 females and group II had 12 males and 11 females. The left side was involved in 10 and right side in 13 cases. Etiology was fall in 7 and road traffic accident in 16 cases. VAS score pre- operatively was 6.5, at 6 months was 2.3 and at 12 months was 1.1. Constant Murley score pre- operatively was 52, at 6 months was 84.5 and at 12 months was 92.4. The mean blood loss was 104.2 ml and the duration of surgery was 56.2 minutes. The difference was significant (P< 0.05). Conclusion: For acute and displaced acromioclavicular joint injuries, reconstruction of the acromioclavicular ligament and the coracoclavicular ligament with mersilene tape may be recommended.