Here’s a cram about injecting shoulders with lignocaine before manual reduction. An April 2011 Cochrane Review says it works as well as procedural sedation and analgesia. Pictured is the posterior approach, but with a dislocated shoulder, getting 10ml of local into the joint is easy as eating a meat pie. This is a great option if you have a contraindication to sedation (just ask Elsbeth). Would the blessed „triple cram‟ of injection, sedation, and reduction be even better for difficult reductions? A possible future study?
This should be another arrow in your quiver for reductions. And to prove it works, Matt Clarke is going to dislocate his shoulder and let a lucky house officer inject it with lignocaine and reduce it –Andy