Perthes lesion

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Recurrent anterior dislocation of the shoulder.

Patient Data

Age: 35 years
Gender: Male
mri

MRI arthrogram right shoulder

Detachment of the anterior glenoid labrum in the 3-6 o'clock position with stripped periosteum intact. Presence of Hill-Sachs lesion at the external margin of the humeral head. Normal rotator cuff tendons and long head of biceps.

Case Discussion

In case of a Perthes lesion, there is labral avulsion in the 3-6 o' clock position, with detachment - but not avulsion - of the periosteum.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.