Shoulder Separations

A shoulder separation occurs when the collar bone is separated from the shoulder blade. The two bones are connected on the top of the shoulder. When the collar bone separates, it moves up and looks like a bump on the top of the shoulder.

What causes a shoulder separation?

A shoulder separation usually occurs after a person falls directly on the side of the shoulder or something hits the side of the shoulder with a lot of force. Certain athletes like quarterbacks are likely to get this injury when a tackler drives the quarterback into the ground directly onto the shoulder. Other violent injuries can cause a shoulder separation like a fall from a bicycle or a motor vehicle accident.

What are the symptoms?

If you experience a shoulder separation, you'll most often have immediate pain on the top of the shoulder after the injury. You will likely also notice a bump on the top of the shoulder that is different than the other shoulder when you look into a mirror.

How do you treat shoulder separations?

For most separations, the ligaments will heal in place and you will be able to use the arm normally again. The bump on the shoulder will always be there, but it will not get bigger or cause a problem. Initially, the injury is treated with rest in a sling and then a gradual return to activity is permitted over several months.

For more severe separations, surgery is needed to repair the ligaments. This surgery is complex and recovery can take up to 6 months.