Sidharthan S, et al. - Picture Archiving and Communication System records at an urban academic tertiary care orthopedic facility from October 2005 to December 2018 were queried for shoulder MRI in individuals aged 9 to 17 years in order to describe patterns of ossification and fusion of growth centers around the pediatric and young glenoid as a function of age utilizing 3-dimensional, frequency-selective, fat-suppressed spoiled gradient recalled echo MR imaging sequences, with a special focus on the anterior glenoid rim due to its clinical significance as a potential confounder of glenohumeral instability. A total of 250 MR examinations (143 men, 107 women) were evaluated in this study. The glenoid evolved in a predictably consecutive manner with ossification at the anterior glenoid rim lagging behind the coracoid and superior glenoid rim. Glenoid ossification and fusion advanced in a predictable and chronological manner. Thus, this pattern shall be utilized as a guideline when interpreting pediatric shoulder MRI examinations. Precisely, an anterior glenoid ossification center shall not be confounded with an anterior glenoid injury (eg, Bankart lesion), especially in men 11 to 17 years old and women 11 to 12 years old.