Buford complex
Last revised by Nico Behnke
on 4 Jul 2024
Citation, DOI, disclosures and article data
Citation:
Gaillard F, Behnke N, Baba Y, et al. Buford complex. Reference article, Radiopaedia.org (Accessed on 04 Dec 2024) https://doi.org/10.53347/rID-1024
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rID:
1024
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Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Last revised:
4 Jul 2024,
Nico Behnke
Disclosures:
At the time the article was last revised Nico Behnke had no financial relationships to ineligible companies to disclose.
View Nico Behnke's current disclosures
Revisions:
21 times, by
13 contributors -
see full revision history and disclosures
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Synonyms:
- Buford complexes
Buford complex is a congenital glenoid labrum variant where the anterosuperior labrum is absent in the 1-3 o'clock position and the middle glenohumeral ligament is thickened (cord-like). It originates directly from the superior labrum adjacent to the bicipital labral complex and inserts onto the articular surface of the subscapularis tendon.
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Epidemiology
A Buford complex is present in ~3% (range 1.5-5%) of individuals 2,6.
History and etymology
The Buford complex was first described by Don Buford Jr (fl. 2018) an American orthopedic surgeon in 1994 4.
Differential diagnosis
A Buford complex should not be mistaken for a superior labral tear or sublabral foramen ref.
Related pathology
Buford complex results in unusual strains to the superior labrum and biceps muscle predisposes to a SLAP lesion 6.
References
- 1. Beltran J, Rosenberg Z, Chandnani V, Cuomo F, Beltran S, Rokito A. Glenohumeral Instability: Evaluation with MR Arthrography. Radiographics. 1997;17(3):657-73. doi:10.1148/radiographics.17.3.9153704 - Pubmed
- 2. De Maeseneer M, Van Roy F, Lenchik L et al. CT and MR Arthrography of the Normal and Pathologic Anterosuperior Labrum and Labral-Bicipital Complex. Radiographics. 2000;20 Spec No(suppl_1):S67-81. doi:10.1148/radiographics.20.suppl_1.g00oc03s67 - Pubmed
- 3. Beltran J, Bencardino J, Mellado J, Rosenberg Z, Irish R. MR Arthrography of the Shoulder: Variants and Pitfalls. Radiographics. 1997;17(6):1403-12; discussion 1412-5. doi:10.1148/radiographics.17.6.9397454 - Pubmed
- 4. Williams M, Snyder S, Buford D. The Buford Complex--The "Cord-Like" Middle Glenohumeral Ligament and Absent Anterosuperior Labrum Complex: A Normal Anatomic Capsulolabral Variant. Arthroscopy. 1994;10(3):241-7. doi:10.1016/s0749-8063(05)80105-7 - Pubmed
- 5. Palmer W, Bancroft L, Bonar F et al. Glossary of Terms for Musculoskeletal Radiology. Skeletal Radiol. 2020;49(Suppl 1):1-33. doi:10.1007/s00256-020-03465-1 - Pubmed
- 6. Lee B, Kim Y, Won S et al. Isolated Tear of the Cord-Like Middle Glenohumeral Ligament in Buford Complex: A Case Report. Medicine (Baltimore). 2017;96(45):e8604. doi:10.1097/MD.0000000000008604 - Pubmed
Incoming Links
Articles:
Cases:
- Concealed interstitial delamination and Buford complex
- Buford complex
- Buford complex (MR arthrogram)
- Glenolabral articular disruption (GLAD lesion) with Buford complex and supraspinatus tear
- Buford complex
- Split biceps brachii tendon and Buford complex
- Glenoid labral variant
- Buford complex
- Buford complex
- Buford complex
- Buford complex
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