Between February 2000 and April 2009, twenty-three patients with floating shoulders( double disruption of the superior shoulder suspensory complex) underwent internal fixation of both the clavicular and scapular fractures The mean age of the patients was 40 (18—57) years. All patients had associated injuries. We evaluated the clinical results using the Rowe Score[1] in 20 available patients after a minimum follow-up of 20 months. All fractures united and the average time to union was 12 weeks for clavicular and 10 for scapular fractures. A mean functional result obtained according to Rowe Score was 86 . Surgical treatment for double disruption of the SSSC which inherently unstable rare injury is a good option, allowing early rehabilitation and improve the functional outcome