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Bump or pain at the top of the shoulder after a fall

Also called: Shoulder separation, AC joint injury

A bump or pain at the top of the shoulder after a fall can be a separated shoulder (AC joint injury) or collarbone fracture.

Common causesAC joint separation, collarbone fracture
Usually serious?Usually not
Get checked ifDeformity or severe pain
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Falls onto the shoulder can injure the AC joint.

Collarbone fractures are common.

When to get medical care

Call 911Not an emergency.
Get care todayDeformity or severe pain.
See a doctor soonPain lasting weeks.

Causes

Caused by falls.

OwieClear has pages on 2 conditions that can cause bump or pain at the top of the shoulder after a fall. Each shows how soon to get care.

Common causes

  • Separated shoulder (AC joint injury)See a doctor if it doesn't get better

    A stretch or tear of the ligaments at the top of the shoulder from falling on it, often with a bump at the top of the shoulder.

Less likely causes

  • Dislocated jointOften needs care today

    A joint pushed out of place, most often the shoulder, finger, or kneecap.

What you can do at home

  • Use a sling.
  • Ice it.

Medicines

Sling, physical therapy, or surgery.

At the doctor

X-rays help.

Questions you may be asked

  • Injury

The exam

A shoulder exam.

Tests

  • X-rays

Prevention

Prevent falls.

  • Protective gear

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

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Sources

Last updated 2026-11-13.