Background: There is no consensus regarding fixing displaced lateral one third clavicle fracture type 2 according to Neer classification, in this study Hook Plate (HP) fixation with Coracoclavicular (CC) ligaments repair was assessed to determine pros and cons. Methods: In this prospective study, Twenty six patients of acute displaced lateral one third clavicle fracture type 2 according to Neer classification treated with Hook Plate (HP) fixation with Coracoclavicular (CC) ligaments repair were available for this study. Radiologic assessment points included quality of reduction, fixation and degree of union. Clinically, patients assessed using The University of California - Los Angeles (UCLA) Shoulder Scale for pain, shoulder function and range of motion. Results: Results were evaluated after at least 12 months . all fractures united within 4 months period. The mean (UCLA) score range from 31-35, excellent in 8 patients (30.8%) and good in 18 patients (69.2%). 10 patients (38.4%) had subacromial impingement which improved after removal of implant, their functional scores were still less than non impinged patients. Conclusion: HP with CC ligaments repair achieved excellent and good clinical scores and radiological outcomes in displaced lateral one third specially extreme distal and comminuted clavicle fracture with the disadvantages that include the necessity of removal and impingement in some cases.