Advice on Dislocated Shoulder
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Injury advice > Shoulder Injuries > Dislocated Shoulder


Dislocated Shoulder

What is a dislocated shoulder?

This injury is a very common traumatic sports injury across a wide range of sports. Usually, the humerus (upper arm bone) is forced forwards when the arm is turned outwards (externally rotated) and held out to the side (abducted).

Sometimes considered a minor injury, most shoulder dislocations cause damage to the glenoid labrum – the ring of cartilage which deepens the glenoid fossa and acts as a cup, in which the humerus rests, forming the Glenohumeral (or shoulder) joint – which can cause an injury known as a Bankart Lesion, and may even cause a fracture to the attached bone (a Bony Bankart Lesion).  Sometimes there can be damage to the surrounding ligaments, nerve or blood vessel damage, fractures of other bones, and in some cases tears of the labrum.

What causes a dislocated shoulder?

This is normally an acute injury, caused by direct or indirect trauma with a sudden onset of severe pain, and often a feeling of the shoulder 'popping out'.

How can you tell a dislocated shoulder?

Often the shoulder will appear obviously different to the other side, and if there is any nerve damage the sensation might also be altered.  Normally you will have quite severe pain associated with a dislocation.

Other types of Glenohumeral Dislocation / Shoulder Disclocation

Usually shoulder dislocations are anterior – that is, the head of the humerus moving forwards.  This can happen in the opposite direction (although this is less likely), with the head of the humerus being forced backwards.  This is known as a 'posterior dislocation', and is more common following a fit, or if falling on an outstretched hand.  The arm will tend to be held into the body (in internal rotation and adduction), and as this is slightly harder to reduce, X-Rays are very important.  If possible a Lateral and/or Axillary view is needed to check for fractures.

The configuration of the shoulder makes it very rare for the shoulder to dislocate in any other direction.  If this is suspected, there is a very high possibility that there are associated fractures in the joint, and reduction should not be attempted without X-Ray guidance

How is a posterior dislocation different?

Posterior dislocation is far less common and occurs as a result or direct trauma to the front of the shoulder or a fall onto an outstretched arm that is rotated inwards or adducted (towards or across the body). It can also be caused by electric shock.

Useful Products:

  • Shoulder Braces - help to support and stabilize the shoulder, reducing the risk of further injury.

Please see the Virtual Sports Injury Clinic for more information on how to treat a Dislocated Shoulder

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