Osteochondrosis dissecans (OCD) is a form of osteochondrosis limited to the articular epiphysis. The most commonly affected areas include, in decreasing order of frequency, the femoral condyles, talar dome and capitellum of the humerus. OCD rarely occurs in the shoulder joint, where it involves either the humeral head or the glenoid. The purpose of this report is to present a case with glenoid cavity osteochondritis dissecans and clinical and radiological outcome after arthroscopic debridement. The patient underwent arthroscopy to remove the loose body and to microfracture the cavity. The patient was followed-up for 4 years and she is pain-free with full range of motion and a stable shoulder joint.