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A short systematic review was undertaken to assess whether use of inhaled methoxyflurane in reduction of anterior shoulder dislocation is associated with an acceptable procedural success rate and decreased time spent in the emergency department. MEDLINE, EMBASE, Cochrane and Google Scholar databases were searched. Eight relevant papers were found. The author, date, country of publication, study type, patient characteristics, relevant results and study weaknesses were tabulated. Our results suggest favourable outcomes with methoxyflurane, but a multicentre randomised trial is needed to fully address this clinical question.