Buford complex

Last revised by Dr Yuranga Weerakkody on 15 Feb 2021

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.  It is present in ~3% (range 1.5-5%) of individuals 2,6

The Buford complex was first described by Don Buford Jr (fl. 2018) an American orthopedic surgeon in 1994 4.

Buford complex results in unusual strains to the superior labrum and biceps muscle predisposes to a SLAP lesion 6.

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Cases and figures

  • Case 1
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  • Case 2
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  • Case 3: absent anterosuperior labrum and thickened MGHL
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  • Case 4: shoulder athrogram
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  • Case 5
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