Comparison of intra-articular lidocaine and intravenous sedation for reduction of shoulder dislocations: a randomized, prospective study

This report has been verified by one or more authors of the original publication.

30 patients with an isolated glenohumeral joint dislocation were randomized to receive either intravenous sedation or intra-articular lidocaine to facilitate reduction of the dislocation using the modified Stimson method. The two groups were compared with regard to the rate of successful reduction, pain as rated on a visual analog scale, time required for the reduction, time from the reduction until discharge from the emergency department, and cost. The lidocaine group required less time in the emergency department and money, but the groups were otherwise not significantly different in terms of pain, reduction success, or time needed to reduce.