Dislocated Shoulder

A shoulder dislocation occurs when the head of the humerus (upper arm bone) is forcibly removed from its socket in the scapula (shoulder blade). This injury can be very painful and usually results from a fall, a direct shoulder blow, or extreme joint rotation. Dislocated shoulders can happen to anyone, but it is more common in active people and athletes who participate in contact sports such as football, hockey, or basketball.

Have you suffered a shoulder dislocation recently? Consult our shoulder dislocation specialist for an accurate diagnosis & personalised treatment plan.

doctor img
Dr Dennis Ng Zhaowen
image

Causes of Shoulder Dislocation

Shoulder dislocations can occur for various reasons, often related to physical activity or trauma. Here are the main causes:

  • Traumatic Injury - A sudden impact or forceful blow to the shoulder can cause dislocation. This is common in contact sports such as football, rugby, and hockey, where players often experience heavy tackles or collisions.
  • Falls - Falling onto an outstretched arm or directly onto the shoulder can lead to a dislocation. This can happen during activities like cycling, skiing, or simply slipping on ice.
  • Repetitive Movements - Repetitive overhead movements, often seen in sports like swimming, tennis, or volleyball, can gradually weaken the shoulder joint and its supporting structures, increasing the risk of dislocation.
  • Previous Dislocations - Having had a previous shoulder dislocation increases the likelihood of experiencing another, as the ligaments and tendons around the shoulder may have been stretched or weakened.
  • Genetic Factors - Some people have looser ligaments due to genetic factors, which can make their joints more prone to dislocation. This condition is known as hypermobility or being "double-jointed”.

Symptoms of a Dislocated Shoulder

A dislocated shoulder presents several noticeable symptoms. Recognising these signs can help in seeking prompt medical attention. The main symptoms include:

  • Severe Pain
    Pain is typically intense and immediate following a shoulder dislocation. The pain is often localised around the shoulder joint but can radiate down the arm. The discomfort usually intensifies when one tries to move one’s shoulder.
  • Visible Deformity
    A noticeable deformity in the shoulder’s appearance is a key indicator. The shoulder may look misshapen or out of place. Depending on the direction of the dislocation, the shoulder may look flattened instead of round, and there may be a bulge at the front or back of the joint.
  • Swelling and Bruising
    Swelling and bruising around the shoulder joint develop quickly after dislocation. The area may become visibly swollen and tender to the touch. Bruising may spread down the arm as the blood from injured tissues disperses.
  • Limited Range of Motion
    Movement in the shoulder becomes severely restricted. Trying to move the arm, even slightly, can cause excruciating pain. The shoulder feels stiff and immobilised.
  • Numbness and Tingling
    Shoulder dislocation can cause nerve damage or compression, making the arm, hand, or fingers feel cold or tingly. This sensory sensation is often described as a “pins and needles” feeling.
  • Muscle Spasms
    Muscle spasms happen when the muscles around the shoulder joint tighten without your control. These spasms or twitches can worsen the pain and make it hard to relax the shoulder. They often occur as the body attempts to stabilise the injured joint.
  • Weakness
    The affected arm may feel weak and unable to bear weight. Simple tasks, such as lifting objects or moving the arm, become difficult or impossible due to the loss of muscle function and the disruption of the joint’s normal alignment.

Diagnosis of Shoulder Dislocation

A dislocated shoulder requires a thorough physical examination and imaging tests to determine the severity and appropriate therapy. Diagnostic procedures are as follows:

Physical Examination

During the physical examination, the shoulder specialist will:

  • Inspect the Shoulder: The shoulder specialist will visually examine the shoulder for any visible deformities, swelling, or bruising.
  • Palpate the Area: The shoulder specialist will gently press on the shoulder to pinpoint the location of pain and assess the extent of the injury.
  • Assess Range of Motion: The shoulder specialist will ask the patient to move their shoulder in different directions to determine mobility and identify any pain or restrictions in movement.
  • Check for Nerve Damage: The shoulder specialist will evaluate the sensation and muscle strength in the arm, hand, and fingers to detect nerve damage from the dislocation.
Imaging Tests

Imaging tests provide detailed views of the shoulder joint and help confirm the diagnosis. Common imaging tests include:

  • X-rays: X-rays are used to identify the extent of the dislocation and check for any associated fractures. The patient will be put in different positions while X-rays are taken from different angles to get a full picture of the shoulder joint.
  • MRI (Magnetic Resonance Imaging): An MRI provides clear images of the soft tissues around the shoulder, like ligaments, tendons, and muscles, which can help identify other injuries. The patient remains in a machine that uses magnetic fields and radio waves to create detailed images of the shoulder’s internal structures.
  • CT Scan (Computed Tomography): A CT scan offers detailed cross-sectional images of the shoulder joint, which can help detect complex fractures or bone fragments not visible on X-rays. The patient lies on a table that slides into a scanner, which rotates around the shoulder to capture multiple images from different angles.

Schedule An Appointment With Us

Are Your Symptoms Affecting Your Quality Of Life?

Consult our MOH-accredited shoulder dislocation specialist for an accurate diagnosis & personalised treatment plan.

Treatment Options for Dislocated Shoulder

Treatment for a dislocated shoulder involves creating a specific treatment plan depending on the severity of the dislocation and any associated injuries. Here are the main treatment options:

Non-surgical Treatments

Non-surgical treatments aim to reposition the shoulder joint and allow it to heal without surgery. These include:

  • Reduction of Shoulder Joint: Initially, X-rays are taken to determine the diagnosis of a dislocated shoulder. The primary goal is to reposition the arm bone into the shoulder socket, a procedure known as closed reduction. This procedure is usually done with either local or general anaesthesia to make it less painful. Once the shoulder joint is in the right place, more X-rays are taken to ensure it is still in the right place.
  • Use of Shoulder Sling: Once the shoulder has been reduced, the patient may need to wear a sling for about a week to rest the shoulder and promote healing. Immobilisation helps prevent further movement and damage, allowing the ligaments and tissues to heal properly.
  • Pain Management: Pain management is an important part of treatment. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce pain and inflammation. In some cases, stronger prescription pain medications may be required, especially immediately after the injury and reduction procedure.
  • Corticosteroid Injection: Corticosteroid injections can be used to manage pain and inflammation associated with a dislocated shoulder. These injections contain anti-inflammatory medication that helps reduce swelling and pain in the shoulder joint.
  • Physical Therapy: Physical therapy plays an important role in the recovery process. Physical therapy techniques will restore range of motion, strengthen shoulder muscles, and stabilise the joint once the initial pain and swelling go away. Gradual and supervised exercise can keep your shoulders from getting stiff and make them work better overall.
Surgical Treatments

Surgical treatments are considered when there is damage to the shoulder tissues or in cases of recurrent dislocations. These include:

  • Arthroscopy: Arthroscopy may be recommended if there is considerable damage to the shoulder ligaments, tendons, or other soft tissues or if the shoulder dislocation is recurrent. A small camera (arthroscope) and surgical tools are put into the shoulder joint through very small cuts during this minimally invasive treatment. The shoulder specialist repairs the damaged tissues, stabilises the joint, and removes loose fragments.
  • Open Surgery: Open surgery is needed when there is a lot of damage or when slightly invasive methods are not enough. During open surgery, a larger incision is made to allow the shoulder specialist access to the shoulder joint easily. This method might be needed to fix severe fractures, large tears, or more complex reconstructions.

Rehabilitation and Recovery

Rehabilitation and recovery are important for regaining full function of the shoulder after a dislocation. This process involves:

  • Initial Rest and Immobilisation: After the shoulder has been reduced, the initial phase of recovery involves resting the shoulder and wearing a sling for support. Immobilisation typically lasts one to two weeks. During this period, the patient should avoid movements that could strain the shoulder, such as lifting heavy objects or sudden arm movements. The sling helps keep the shoulder in place, providing stability and promoting the healing of the ligaments and tissues.
  • Gradual Return to Activities: Returning to normal activities and sports should be done gradually and under the guidance of a shoulder specialist. Avoid high-risk activities, such as contact sports or heavy lifting, is advised until the shoulder has fully healed and regained strength. The timeline for resuming activities varies depending on the severity of the injury and the person’s progress but generally ranges from several weeks to a few months.
  • Monitoring and Follow-up: Regular follow-up appointments with a shoulder specialist are important to monitor the healing process and adjust the rehabilitation plan as needed. These appointments allow for continuous assessment of the shoulder’s recovery, ensuring that complications are addressed promptly and that the rehabilitation program remains effective.

When to Seek Medical Attention

Seek a shoulder specialist immediately if you have severe shoulder pain, visible deformity, or the inability to move your shoulder. Numbness, tingling, or arm weakness are also signs requiring urgent evaluation.

If the symptoms do not go away after the first treatment or the dislocation happens again and again, you should see a shoulder specialist for follow-up care to ensure you heal properly and stop future dislocations. Getting medical help immediately is important for treating and recovering from a broken shoulder.

WHY CHOOSE DR DENNIS NG

Effective & Evidence-Based Orthopaedic Care

Dr. Dennis Ng is dedicated to understanding your unique needs, focusing on restoring
your active lifestyle and overall well-being.

img

Specialised Experience In Complex Procedures

img

PATIENT-CENTRED & PERSONALISED APPROACH

img

Dedicated Aftercare For Optimal Recovery

img

AFFORDABLE & TRANSPARENT PRICING

Our Patients' Feedback

Learn what our patients have to say about our treatments and services.

Jeremy Teo
Jeremy Teo
2024-05-16
I tore my left pec muscle after a bench press accident and had the fortune of getting help from Dr Dennis. He is a very caring and helpful individual that you can tell wants the best healing progress for you and actively follows up with you sincerely. I initially had a two month delay and misdiagnosis at Ktph and it caused my tendon to retract. Should have went to Dr Dennis from the start.. 5/5
Emily Loo
Emily Loo
2024-05-16
I felt that doctor Dennis is very experienced and he skilfully aligned my fractured toe after my accident so that I didn’t need to do a minor surgery. He was friendly and professional and I felt his fees were reasonable without additional overselling of tests, supplements etc. that I have experienced elsewhere. Overall it was a smooth and effective experience and I would highly recommend doctor Dennis.
Ming W
Ming W
2024-04-20
Wonderful experience with Dr. Dennis and his team. The staff were attentive and efficient. Dr. Dennis is professional, caring and knowledgeable. I had a shoulder injury and knee injury that required surgery. The whole journey, including pre and post surgery, Dr. Dennis and his team made sure I received the best treatment possible. Really thankful for the team and I definitely will recommend this place to others.
Jermy Tan
Jermy Tan
2024-04-02
Saw Dr Dennis for my lumbar slipped disc. Great doctor and he explained clearly the different options available. Went with surgery and have been recovering well since then.
Amanda Seah
Amanda Seah
2024-03-02
I came in with a shoulder injury that meds from a GP did not relieve one month ago. Dr Dennis and his team were great in diagnosing the exact injury with an mri, and he prescribed physio. My shoulder condition has greatly improved and I can now move my arm almost completely! Thank you Dr Dennis!
Jaslyn HENG (Kenrick)
Jaslyn HENG (Kenrick)
2024-02-19
A very friendly and nice doctor who manage to cure my elbow issue whjch has been bothering me for more than 6 months! Thank you Doctor Dennis!
Xianmin Jiang
Xianmin Jiang
2024-02-07
I had severe left shoulder pain due to exercise. After MRI checking , it was shown high-grade tendon tearing. Dr Dennis did the surgery for my left should calf repair. After surgery, I strictly follow what he suggested. The recovery was really amazing and fast. I was curious about what happened to my shoulder, he explained in details and with great patience. Now, I am fully recovered in a very fast speed and come back to my loved sports and exercises. I definitely recommend Dr Dennis for his profession, patience and delicate skills. Last not the least, thank for his medical team. The nurses are always prompt to reply when I need help and message them.
Omar Lechuga
Omar Lechuga
2023-12-27
Dr. Dennis helped me with an elbow pinch coming from a trauma. His attention to detail confidence and great empathy really helped me to fully recover. Thank you Dr. Dennis.
Benjamin Mah
Benjamin Mah
2023-12-09
Dr Dennis has been helpful in the diagnosis and explanation of my injury

Dr Dennis Ng Zhaowen
Mount Elizabeth Novena Specialist Centre
38 Irrawaddy Road #08-41,Singapore 329563

Dr Dennis Ng Zhaowen

  • Senior Consultant Orthopaedic Specialist
MBBS (Singapore)
|
MRCSEd
|
MMED
|
FRCSEdOrth (Gold Medal Award)

Before private practice, Dr Dennis Ng was the former Deputy Head of the Shoulder & Elbow Division and Sports Knee Division in National University Hospital.

He completed his fellowship at the prestigious Fowler Kennedy Sports Medicine Centre in London, Ontario, Canada, and has rich experience treating professional athletes and returning them to sports. 

Special Areas of interests include keyhole and reconstructive procedures of the shoulder and elbow. 

Common procedures include frozen shoulder release, rotator cuff repair, SLAP/Labrum repair, shoulder stabilization, tennis elbow release etc.

Insurance

Our clinic is on the specialist panels of the following Health Networks/Insurance Plans, and we are happy to assist with your claims or
attend to any query you may have.

Personal Insurance

Corporate Insurance

Contact Us Today

Please send us a message, and our friendly clinic staff will get back to you shortly.





    Visit Us Today

    Mount Elizabeth Novena Specialist Centre

    38 Irrawaddy Road #08-41
    Singapore 329563

    Monday – Friday: 9am – 1pm; 2pm – 5pm
    Saturday: 9am – 1pm
    Sunday & PH: CLOSED

    Other Clinic Location

    Gleneagles Medical Center

    6 Napier Road #07-15
    Singapore 258499

    Monday – Friday: 9am – 1pm; 2pm – 5pm
    Saturday: 9am – 1pm
    Sunday & PH: CLOSED

    Frequently Asked Questions (FAQs)

    What are the long-term effects of a dislocated shoulder?

    Long-term effects can include chronic shoulder instability, recurrent dislocations, and the potential development of arthritis in the shoulder joint over time. Proper treatment and rehabilitation are advised to minimise these risks.

    How long does recovery take?

    Recovery time varies based on the severity of the injury and treatment type. It generally ranges from a few weeks to several months. Rehabilitation exercises are recommended for full recovery.

    Are there any complications associated with shoulder dislocation?

    Complications can include nerve or blood vessel damage, rotator cuff injury, and chronic shoulder instability. Timely and appropriate treatment helps reduce the risk of these complications.

    What should I do immediately after a shoulder dislocation?

    Avoid moving the arm immediately after a shoulder dislocation and seek emergency medical attention. Applying ice to the shoulder can help reduce swelling and pain while awaiting medical attention.

    +65 9751 1486