What is a Dislocation?

Basically, "dislocation" means that the bones that form the joint have slipped out of their normal position in the joint. A joint can become dislocated if you injure yourself.

Dislocations can occur in any joint -- both the large joints (like the shoulder, hip, knee, elbow and ankle) or in the smaller joints (like fingers and toes).

Sometimes, the bones of the joint will shift, but not become totally dislocated. This is called subluxation (slippage) and can be a chronic problem. While the bones will shift back into their original position, you may feel some pain until they do.

It is often hard to tell whether the injury is a dislocated joint or a broken bone. A severe injury can result in both a dislocated joint and broken bone. All are considered emergency situations requiring immediate medical attention.

What Are the Symptoms of a Dislocation?

If you've dislocated a joint, you'll know something is wrong because the symptoms are difficult to miss.

• You will have severe pain and will not be able to move that part of the shoulder, arm, or leg.
• You can usually tell by looking that the joint is not right. It will look deformed compared to the same joint on the opposite side. You may see an indention or a bulge near or in the socket.
• In many cases, the force of the injury stretches or tears the ligaments that hold the bone inside the joint.
• Often, there is swelling and bleeding inside the joint, causing a bruise.
• There may be nerve damage from the stretching of the nerves around the dislocated bone.
• You will have pain until the dislocation is "reduced," or put back into place by trained medical personnel.

What Should I Do to Help Someone With a Dislocation?

If you encounter someone who has been injured and you think they may have a dislocation, you can act, carefully:

• Keep the person still and reassure them.
• If the skin is broken by a fractured bone, or if you think there may be a broken bone under the skin, try to prevent infection. Cover it with sterile bandages before immobilizing the injury.
• Splint or sling the injury in the position you found it.
• Be sure to immobilize the area both above and below the injured joint and check the circulation.
• Apply ice packs to ease pain and swelling.
• To help prevent shock, lay the person flat, then elevate their feet about 12 inches (unless the injury involves this part of the leg).
• Cover the person with a coat or blanket.
• Get medical help. Do this immediately if you can’t completely immobilize the injury at the scene by yourself.

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