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.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.