Glenohumeral instability associated with Buford complex

Abstract

Buford complex is described as a normal anatomical variant of the anterosuperior part of the glenoid consisting of the absence of the anterosuperior labrum with the presence of a cord-like middle glenohumeral ligament. Traditionally, reattachment to the glenoid has been discouraged. We present a case of a Buford complex associated with glenohumeral instability. The patient was operated for recurrent instability without a preoperative diagnosis of Buford complex. The diagnosis was made during shoulder arthroscopy and reattachment to the glenoid was performed with a satisfactory outcome. Here, we discuss the relationship of the Buford complex with intraarticular pathology and the surgical treatment in cases when this variant is associated with instability.

Anatomical variations of the anterosuperior labrum: Prevalence and association with type II superior labrum anterior-posterior (SLAP) lesions

“…Except for a single case report, 3 the presence of anterosuperior labrum variations has not been associated with other common pathologies such as instability, rotator cuff tears, and impingement syndrome in the literature. 8,11,13 Our findings were also consistent with this data, and we conclude that these variants must not be surgically addressed as a cause of instability.…”

Shoulder Stabilization Technique Using the Medial Glenohumeral Ligament in Patients With the Buford Complex

“…In addition, del Rey et al. 21 presented the case of a 29-year-old male patient with anterior glenohumeral instability in the presence of the Buford complex treated with reinsertion of the MGHL. At 24 months postoperatively, the patient regained full range of motion and returned to full sports activity with no new episodes of instability.…”

“…At 24 months postoperatively, the patient regained full range of motion and returned to full sports activity with no new episodes of instability. 5 , 21 …”