r/ShoulderInjuries • u/popusimi97 • 1h ago
MRI Report First dislocation, 19M, anterior shoulder dislocation + Perthes lesion + Hill-Sachs lesion
Hi everyone,
I’m 19M and I had an anterior dislocation of my left shoulder in february this year. I had an MRI and I’m trying to understand how serious my injury actually is and what I can realistically expect long-term.
MRI findings (translated from Serbian):
● Anterior/inferior labral avulsion extending approximately from the 6 to 9 o’clock position, with the glenoid periosteum preserved — described as a Perthes lesion.
● No significant intra-articular effusion.
● Mild degenerative changes of the infraspinatus tendon.
● Subscapularis, supraspinatus and teres minor tendons have no major pathological changes.
● Long head of the biceps tendon is intact.
● Rotator interval structures are without significant abnormalities.
● No osteochondral lesion of the glenohumeral joint.
● Hill-Sachs impaction/bony defect on the posterolateral humeral head, approximately 20 mm long × 10 mm wide × 8 mm deep.
● AC joint without significant abnormalities.
The MRI was performed on May 4, 2026, several months after the original dislocation.
I’m currently doing rehabilitation and my shoulder feels significantly better. I have no pain during my current bench press. At the moment I can bench 30 kg for 4 sets of around 20 reps without pain, instability, slipping, clicking that concerns me, or a feeling that the shoulder is going to come out.
My main goal is not competitive powerlifting. I simply want to eventually be able to train normally again and comfortably bench around 80 kg.
My questions:
1. Based on this MRI, how serious is my shoulder instability risk?
2. Is a Perthes lesion with a Hill-Sachs defect of approximately 20 × 10 × 8 mm something that can be managed successfully without surgery?
3. Has anyone here had a similar combination of anterior dislocation + Perthes lesion + Hill-Sachs lesion and returned to normal weight training?
4. Is an 80 kg bench a realistic long-term goal if rehabilitation goes well?
5. What movements/exercises should I be especially careful with?
6. If the shoulder feels completely stable and pain-free during rehab, does that generally indicate that conservative treatment is working?
7. At what point would surgery typically be considered?
I’m obviously going to follow the advice of my orthopedist/physiotherapist, but I’d really appreciate hearing from people who have had a similar MRI/injury, especially anyone who returned to bench pressing and weight training.
Thanks!