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Normal Buford Complex of The Shoulder

The Buford complex! This is a variant of normal anatomy found in the shoulder, specifically within the glenohumeral joint. The Buford complex is characterized by an absent anterior superior labrum and a cord-like middle glenohumeral ligament. It's important in orthopedics and sports medicine because recognizing it as a normal anatomical variation is crucial during shoulder arthroscopy and MRI interpretation to avoid misdiagnosis as a labral tear. The Buford complex is present in a small percentage of the population. It's not considered a pathological condition but rather a variant of normal anatomy. Due to its appearance, there's a risk of it being mistaken for a labral tear, particularly in diagnostic imaging if the healthcare professional is unaware of this variant. Understanding the Buford complex helps orthopedic surgeons and radiologists prevent unnecessary interventions. In individuals with a Buford complex, the absence of the anterior superior labrum combined with the cord-like middle glenohumeral ligament can appear similar to a labral tear on MRI or during arthroscopic surgery. However, recognizing this complex is vital because it does not require surgical repair, unlike actual labral tears that can compromise shoulder stability and function. Proper diagnosis involves a combination of clinical evaluation and careful interpretation of imaging studies, keeping in mind the possibility of such anatomical variations. Awareness and understanding of the Buford complex are essential for anyone involved in the diagnosis and treatment of shoulder conditions to ensure appropriate management and to avoid unnecessary surgical interventions.