By Justin Worsley
San Francisco 49ers quarterback Alex Smith has sustained a separated shoulder in his left (non-throwing) arm and is ruled out for Sunday's game against the Denver Broncos in London.
Smith, who the game last week, a 23-20 loss to the Carolina Panthers, was replaced by David Carr, who completed only five of his 13 pass attempts and threw an interception which set up the game-winning field goal for Carolina with only 1:08 left in the game.
Carr will not start this week's matchup against struggling teams. Instead, Troy Smith will start for the first time since his rookie season in 2007, when he playaed for the Baltimore Ravens.
Alex Smith sacked from behind early in the third quarter against Carolina by defensive end Charles Johnson. The 49ers (1-6) have a bye week following their trip to London and are hoping Smith will be back in time for their game against the division-rival St. Louis Rams on Nov. 14.
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