Dislocated Shoulder: Causes, Symptoms and Treatment

What Are the Symptoms of a Dislocated Shoulder?

Recognizing these symptoms is crucial for prompt and appropriate medical attention. According to the Mayo Clinic, symptoms of a shoulder dislocation include:

• A visibly deformed or out-of-place shoulder joint: This is often the most obvious sign of a dislocation, according to the Mayo Clinic

• Swelling or bruising in the shoulder blade or shoulder joint area

• Intense pain: The pain experienced with a dislocated shoulder can be debilitating, and the individual may find it difficult or impossible to move the joint according to the Mayo Clinic.

These symptoms collectively indicate a serious injury that requires immediate evaluation and treatment.

What Are the Causes of a Dislocated Shoulder?

The causes of a dislocated shoulder can vary, but they often stem from specific types of trauma. Understanding these causes can help individuals take preventive measures to reduce their risk of experiencing a dislocation, according to the Mayo Clinic. They note that some common causes include:

• Sports injuries: Particularly those involving contact or high-impact activities.

• Trauma not related to sports: Such as motor vehicle accidents or physical altercations.

• Falls: Whether from a height or on a slippery surface.

How Do You Treat a Dislocated Shoulder?

Treating a shoulder dislocation is a multi-step process aimed at restoring the joint's function and relieving pain, according to the Mayo Clinic. They explain that the treatment strategy for a dislocated shoulder depends on the severity of the dislocation and the specific circumstances of the injury. Each of these treatments plays a vital role in the recovery process, according to the Mayo Clinic:

• Closed reduction: A non-surgical procedure to realign the shoulder joint and upper arm bone.

• Surgery: Required in cases where there are torn ligaments or other structural damage.

• Immobilization: Using a sling or brace to keep the shoulder joint from moving and aid in the healing process.

• Medication: Pain relievers and anti-inflammatory drugs to alleviate discomfort and swelling.

• Rehabilitation: Physical therapy exercises designed to restore strength and flexibility to the shoulder muscles after a shoulder dislocation.

How Are Dislocated Shoulders Diagnosed?

A healthcare provider diagnoses a shoulder dislocation through a combination of a physical examination, patient history, and imaging tests, according to the Mayo Clinic.

They note that during the examination, a doctor will assess the shape of the shoulder, looking for deformity or swelling, and will inquire about how the injury occurred and the symptoms experienced. They will also check for signs of associated injuries, such as damage to nerves or blood vessels around the shoulder.

Imaging tests play a crucial role in confirming the diagnosis of a dislocated shoulder and in planning the appropriate treatment, according to the Mayo clinic. An X-ray is typically the first imaging test ordered, as it can clearly show if the head of the upper arm bone (humerus) is out of the shoulder socket. It can also reveal any associated fractures which are common if you’ve dislocated your shoulder with a traumatic impact, according to the Mayo Clinic.

In some cases, more detailed imaging may be required, notes the Mayo Clinic. They explain that a computed tomography (CT) scan can offer a more comprehensive view of the bone structures and the extent of the shoulder dislocation, while magnetic resonance imaging (MRI) can provide detailed images of the soft tissues, including the muscles, ligaments, and tendons, which may have been affected during the dislocation. These imaging tools are valuable for healthcare providers to accurately diagnose a dislocated shoulder and to determine the best course of action for treatment and recovery.