Dislocated Shoulder
A shoulder dislocation occurs when the ball of the upper arm bone pops out of the shoulder blade socket, requiring immediate medical attention to restore joint function.
Overview
Your shoulder joint is made up of three bones: your collarbone, your shoulder blade, and your upper arm bone. The top of your upper arm bone is shaped like a ball, which fits into a cuplike socket in your shoulder blade. A shoulder dislocation is an injury that happens when the ball pops out of your socket. A dislocation may be partial, where the ball is only partially out of the socket, or a full dislocation, where the ball is completely out of the socket.
Causes & Risk Factors
Your shoulders are the most movable joints in your body and are also the most commonly dislocated joints. Common causes include:
- Sports injuries
- Accidents, including traffic accidents
- Falling on your shoulder or outstretched arm
- Seizures and electric shocks, which can cause muscle contractions that pull the arm out of place
While a dislocated shoulder can happen to anyone, it is more common in young men involved in sports and physical activities. Older adults, especially women, are also at higher risk due to an increased likelihood of falling.
Symptoms
If you experience the following symptoms, seek medical treatment right away:
- Severe shoulder pain
- Swelling and bruising of your shoulder or upper arm
- Numbness and/or weakness in your arm, neck, hand, or fingers
- Trouble moving your arm
- Your arm seems to be out of place
- Muscle spasms in your shoulder
Diagnosis
To make a diagnosis, your health care provider will take a medical history and examine your shoulder. Your provider may also ask you to get an x-ray to confirm the diagnosis.
Treatment & Management
Treatment for a dislocated shoulder usually involves three steps:
- Closed reduction: A procedure in which your health care provider puts the ball of your upper arm back into the socket. You may first receive medicine to relieve pain and relax your shoulder muscles. Once the joint is back in place, the severe pain should end.
- Wearing a sling: You will wear a sling or other device for a few days to several weeks to keep your shoulder in place.
- Rehabilitation: Once pain and swelling have improved, you will perform exercises to improve your range of motion and strengthen your muscles.
Surgery may be necessary if you injure the tissues or nerves around the shoulder or if you experience repeated dislocations. Because a dislocation can make your shoulder unstable, there is a higher risk of it happening again. Your health care provider may recommend continuing specific exercises to prevent future dislocations.