Buford complex

Case contributed by Bálint Botz
Diagnosis not applicable

Presentation

No history of trauma. Right shoulder pain worsened by exertion.

Patient Data

Age: 25 years
Gender: Female
mri
This study is a stack
Axial PD
fat sat
This study is a stack
Axial
T1
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal
PD
This study is a stack
Coronal
T1
This study is a stack
Sagittal
PD fat sat
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Info
  • Moderate fluid buildup in the subscapular recess (best seen on PD weighted sequences), which is not necessarily pathological. 
  • Absent anterosuperior labrum in the 12-3 o'clock position, with resultant thickening of the middle glenohumeral ligament, best appreciated on the axial PD FS sequence (see key image). 
  • Axillary lymph nodes showing reactive morphology. 
Annotated image
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Info
  1. Saggital PD FS: key image demonstrating fluid buildup in the subscapular recess. 
  2. Axial PD FS: short arrow demonstrating absence of anterosuperior labrum, long arrow indicating the thickened MGHL.

Case Discussion

The incidentally demonstrated anatomical labral variation represents the Buford complex

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