Shoulder Labrum MRI The Buford Complex

Buford Complex Definition:

  1. Absent superior portion anterior labrum
  2. With a thick middle glenohumeral ligament.

buford-complex-shoulder-mri-normal-variant-radedasia

MRI APPEARANCE

The image below shows  the appearance of a Buford Complex. The points to note in a Buford Complex

  1. The Superior Aspect of the Anterior Labrum is absent ( sometimes very diminutive)
  2. The Inferior aspect of the Anterior Labrum ( below Equator)  is Normal
  3. The middle glenohumeral ligament ( MGHL) is thick
  4. The thick MGHL can look like a displaced labrum. You can identify the MGHL by following it down and it will eventually fuse with the capsule posterior to subscapularis ( Orange arrow) .
  5. The Superior Labrum posterior to the biceps insertion is normal
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