Injuries Medical Encyclopedia Health Navigator Drug Interactions Drug Notes Health Capsules Smart Sites Back Pain Hip Pain Knee Pain Weight Loss Dislocation Joint dislocation Definition A dislocation is a separation of two bones where they meet at a joint. Joints are areas where two bones come together.A dislocated joint is a joint where the bones are no longer in their normal positions. Considerations It may be hard to tell a dislocated joint from a broken bone. Both are emergencies. You will need the same first aid treatment.Most dislocations can be treated in a doctor's office or emergency room. You may be given medicine to make you sleepy and to numb the area. Sometimes, general anesthesia in the operating room is needed.When treated early, most dislocations do not cause permanent injury.Injuries to the surrounding tissues generally take 6 to 12 weeks to heal. Sometimes, surgery to repair a ligament that tears when the joint is dislocated is needed.Injuries to nerves and blood vessels may result in more long-term or permanent problems.Once a joint has been dislocated, it is more likely to happen again. Follow-up with an orthopedic surgeon is recommended after a dislocation. Causes Dislocations are usually caused by a sudden impact to the joint. This usually occurs following a blow, fall, or other trauma. Symptoms A dislocated joint may be:Accompanied by numbness or tingling at the joint or beyond itIntensely painful, especially if you try to use the joint or put weight on itLimited in movementSwollen or bruisedVisibly out of place, discolored, or misshapenNursemaid's elbow is a partial dislocation that is common in toddlers. The main symptom is the child's refusal to use the arm. Nursemaid's elbow can be easily treated in a doctor's office. First Aid Call 911 before you begin treating someone who may have a dislocation, especially if the accident that caused the injury may be life-threatening.If the person has a serious injury, check their airway, breathing, and circulation. If necessary, begin rescue breathing, CPR, or bleeding control.Do not move the person if you think that their head, back, or leg has been injured. Keep the person still. Provide reassurance.If the skin is broken, take steps to prevent infection. Do not blow on the wound. Rinse the area gently to remove any dirt you can see, but do not scrub or probe. Cover the area with sterile dressings before immobilizing the injured joint (see next step).Splint or sling the injured joint in the position in which you found it. Do not move the joint. Also immobilize the area above and below the injured area.Check the person's blood circulation around the injury by pressing firmly on the skin in the affected area. It should turn white, then regain color within a couple of seconds after you stop pressing on it. To reduce the risk of infection, do not do this step if the skin is broken.Apply ice packs to ease pain and swelling, but do not put ice directly on the skin. Wrap the ice in a clean cloth.Take steps to prevent shock. Unless there is a head, leg, or back injury, lay the victim flat, elevate their feet about 12 inches, and cover the person with a coat or blanket. Do Not Do NOT move the person unless the injury has been completely immobilized.Do NOT move a person with an injured hip, pelvis, or upper leg unless it is absolutely necessary. If you are the only rescuer and the person must be moved, drag them by their clothing.Do NOT attempt to straighten a misshapen bone or joint or try to change its position.Do NOT test a misshapen bone or joint for loss of function.Do NOT give the person anything by mouth. When to Contact a Medical Professional Call 911 if the person has:A bone projecting through the skinA known or suspected dislocation or broken boneAn area below the injured joint that is pale, cold, clammy, or blueSevere bleedingSigns of infection, such as warmth or redness at the injured site, pus, or a fever Prevention To help prevent injuries in children:Create a safe environment around your home.Pay careful attention to preventing falls by gating stairways and keeping windows closed and locked.Supervise children carefully. There is no substitute for close supervision, no matter how safe the environment or situation appears to be.Teach children how to be safe and look out for themselves.To help prevent dislocations in adults:To avoid falls, do not stand on chairs, countertops, or other unstable objects.Eliminate throw rugs, especially around the elderly.Wear protective gear when participating in contact sports.For all age groups:Keep a first aid kit handy.Remove electrical cords from floors.Use handrails on staircases.Use nonskid mats on the bottom of bathtubs and do not use bath oils. Open References References Boss SE, Mehta A, Maddow C, Luber SD. Critical orthopedic skills and procedures. Emergency Medicine Clinics of North America. W.B. Saunders. Feb 2013;31(1).Browner BD, Jupiter JB, Levine Am, Trafton PG, Krettek C., eds. Skeletal Trauma. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2008.Calandruccio JH. Fractures, dislocations, and ligamentous injuries. In: Canale ST, Beaty JH. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Mosby; 2013:chap 67.Chapman MW. Fracture healing and closed treatment of fractures and dislocations. In: Chapman MW, Szabo RM, Marder RA, Vince KG, Mann RA, Lane JM, et al, eds. Chapman's Orthopaedic Surgery. 3rd ed. Philadelphia, PA: Lippincott, Williams & Wilkins: 2000:chap 10.Foley KA. Knee dislocation. In: Rosen P, Barkin RM, Hayden SR, Schaider JJ, Wolfe R, eds. Rosen and Barkin's 5-Minute Emergency Medicine Consult. 3rd ed. Philadelphia, PA: Lippincott, Williams & Wilkins; 2007.Horn AE, Ufberg JW. Management of Common Dislocations. In: Roberts JR, Custalow CB, Thomsen TW, Hedges JR, eds. Roberts & Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 49.Klimke A, Furin M. Prehospital Immobilization. In: Roberts JR, Hedges JR, eds. Roberts & Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 46.Mascioli AA. Acute disclocations. In: Canale ST, Beaty JH. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 60. Radial head injury Illustration Radial head injury Radial dislocation may be caused by a sudden pull on a child's arm or hand. For first aid, immobilize the arm and take the child to the doctor's office or emergency room. Dislocation of the hip Illustration Dislocation of the hip A dislocation is an injury in which a bone is displaced from its proper position. Unless there are accompanying fractures or tissue damage, a simple dislocation may be manipulated back into place. Recovery may include immobilizing the area where dislocation occurred. Shoulder joint Illustration Shoulder joint The shoulder joint is a ball-and-socket joint and is the most freely moving joint of the body. The shoulder joint can move in multiple directions therefore it is less stable than other joints and is more susceptible to injury. Dislocation of the shoulder joint is common and occurs when the top part of arm bone slips out of its socket. Self Care Kneecap dislocation - aftercare Related Information Broken bone Osteonecrosis Review Date: 05/15/2014 Reviewed By: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.