Shoulder: Dislocation vs. Separation

Major differences exist between shoulder separation and shoulder dislocation, although they are often confused. It is important to understand those differences because the management, treatment, and rehabilitation of each injury vary.

A shoulder injury is typically associated with a sudden or traumatic event such as a sports-related injury or fall. As a result, shoulder separation or dislocation is common. However, the difference between the two begins with the location of the injury in the shoulder.

“A dislocation can occur when the shoulder joint comes out of the socket, which can be much more serious and painful for the patient,” says Dr. Dennis P. Weigel, shoulder expert at Heartland Orthopedic Specialists. “While a separation happens near the top of the shoulder, sometimes noticeable by a small bump.”

Other symptoms for each injury include the following:

Shoulder Dislocation:

• Severe pain, inability to move the shoulder
• Abnormal position of shoulder or arm
• Identation or deformity just below shoulder

Shoulder Separation:

• Bump on the top of the shoulder
• Pain, swelling, bruising
• Limited motion

The treatment options for shoulder separation and dislocation differ as well. Shoulder separation is graded on the severity of the injury and the position of the displaced bone. In almost all cases, shoulder separation is treated using conservative treatment options such as icing the injury, anti-inflammatory medications, and rest. In rare cases where shoulder separation is more severe, shoulder surgery may be considered.

Shoulder dislocation is treated by putting it back into place, which can be done on the scene of the injury by an orthopedic expert or at a hospital. In certain cases, early surgery may be recommended to repair the torn ligaments and restore stability. For further information on the anatomy of the shoulder, visit our patient education page.

Heartland Orthopedic Specialists has shoulder experts trained in the treatment of these injuries. Contact our sports medicine experts at (320) 335-6078.