Forty-six patients with unstable distal clavicular fractures were randomized to receive either single coracoclavicular (CC) loop stabilization (n=23) or double CC loop stabilization (n=23). Outcomes of interest included Constant scores, American Shoulder and Elbow Surgeons (ASES) scores, pain on a Visual Analog Scale (VAS), time to union, CC distance, and complications. Outcomes were assessed up to 6 months. Overall, the results of the study revealed that the single CC loop group demonstrated shorter operative times and significantly higher Constant scores at 1 and 3 months postoperation. There were no significant differences in the ASES scores, time to union, or CC distance between the two groups. The results of this trial suggest that single CC loop stabilization provides slightly better early functional outcomes and fewer implant-related irritations compared to double CC loop stabilization.