Shoulder separations are often confused with shoulder dislocations. However, there are significant differences between these two injuries - including how orthopaedic physicians treat them. 

Understanding the differences between these conditions and the shoulder's complex nature can help explain your diagnosis and treatment options.

What is a Shoulder Dislocation?

When a shoulder is dislocated, the top of the arm bone pops out of the shoulder blade's socket. Usually, shoulder dislocations occur when the arm is extended overhead and behind the body, much like the cocking phase of throwing. In this position, an external force pushing the lower arm can cause the shoulder to lever out of the socket.

Symptoms of a shoulder dislocation are:

• Extreme pain with limited mobility

• Abnormal positioning of the arm or shoulder

• Deformity below the shoulder

Shoulder dislocation is treated by moving the bone back into place, which can be done on the scene of the injury by an athletic trainer or at an orthopaedic clinic. Early surgery may be recommended to repair the torn ligaments, restore stability, and reduce the likelihood of a second dislocation.

How to Know if You Have a Shoulder Separation?

The AC shoulder joint is where the upper section of the scapula (acromion) meets the collarbone. In a shoulder separation, the ligaments that connect the AC joint are injured, causing the acromion to separate from the collarbone.

Symptoms of a shoulder separation include:

• Pain 

• Bruising or swelling near the joint

• Deformation on top of the shoulder

Shoulder separations are typically the result of a sudden, forceful impact - such as a fall - or a sharp twist of the arm. These injuries are graded (Type I - VI) based on the severity of the separation, ranging from a ligament sprain to a complete tear.

Treating a shoulder separation is not “one-size-fits-all.” Factors that can impact shoulder separation treatment include:

• Age

• Activity level

• Severity of separation

In most cases, shoulder separations can be treated nonsurgically with ice, rest, anti-inflammatory medications, and physical therapy. However, in cases where severe ligament damage is present (usually seen in Types IV-VI), surgical intervention might be necessary.

Diagnosing a Shoulder Injury In the Vail Valley

To diagnose a separated shoulder or dislocated shoulder, Dr. Sterett and his team will give you a thorough exam, which could include X-rays to rule out broken bones and other conditions. 

Dr. Sterett is a dual-fellowship trained physician who specializes in sports medicine. His training and experience in treating shoulder injuries makes Dr. Sterett a top expert in repairing these injuries so you can get back to doing the activities you love.

Schedule your consultation with Team Sterett today!