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Buford complex

Case contributed by Dai Roberts
Diagnosis almost certain

Presentation

2-year history of shoulder pain. ? SLAP tear

Patient Data

Age: 30 years
Gender: Male

Shoulder arthrogram

mri

Absent anterosuperior glenoid labrum from 1-3 o'clock (3 o'clock anterior) with thickening of the mGHL in keeping with a Buford complex. Small bicipital labral sulcus. Mild ACJ synovial hypertrophy which idents the supraspinatus tendon. Fluid is evident within the teres minor and infraspinatus muscles from the posterior glenohumeral joint injection.

Case Discussion

A Buford complex is a congenital labral variant not to be confused as a labral tear.  Glenoid labrum tears will often affect the anteroinferior aspect, which includes Bankart and Perthes lesions.  

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