Posterior Hip Dislocation reduced with a femoral block

Arun and Charlotte recently had a case of a patient with a posterior hip dislocation who also was in a cervical collar, intoxicated, with multiple medical problems.  Not the patient any of us look forward to sedating without a bit of trepidation that they might lose their airway and need an intubation that could be difficult.  

​Arun placed a femoral block and reduced the hip with ease under only light sedation.  

The idea of a femoral block for a hip dislocation is very new with the only description of it appearing just recently: HERE.  This group from Turkey report a similar experience.  The area of analgesia and anesthesia provided by a femoral block clearly does not include all of the hip joint, (review the block HERE ) but maybe for some patients it may relax the crucial muscles that hold the hip out.  Certainly something worth considering.