What does Buford complex mean?
Buford complex is a congenital glenoid labrum variant where the anterosuperior labrum is absent in the 1-3 o’clock position and the middle glenohumeral ligament is thickened (cord-like).
How do you fix Buford complex?
Research into the Buford complex and the potential dilemma it poses on athletes has not been studied. As it is a variant on anatomy, the only possible treatment option if one was needed would be to surgically correct the defect through augmentation of the cord like MGHL.
How common is a Buford complex?
A Buford complex, found in 1.5% of individuals, is the absence of the anterior superior labrum in conjunction with a thickened cord-like middle glenohumeral ligament. The thick middle glenohumeral ligament attaches directly to the anterosuperior glenoid.
What is Sublabral recess shoulder?
A superior sublabral recess is located at the 12 o’clock position and represents a normal recess between the superior labrum and the cartilage of the glenoid cavity. A sublabral foramen is located at the 2 o’clock position and represents localized detachment of the labrum from the glenoid rim.
Can Buford complex Be Fixed?
Conclusions: For patients with a symptomatic type II SLAP tear and an associated Buford complex, using the proximal Buford MGHL to enhance repair and releasing the distal Buford MGHL segment resulted in significant improvement in outcomes at intermediate follow-up.
How rare is Buford complex?
The incidence is reported to be 8% to 12% for the sublabral foramen, 1.5% to 5% for the Buford complex, and 19% to 23% for the cord-like MGHL. Buford complex was initially introduced as a rare normal variant with little clinical significance.
How do you treat a SLAP lesion?
In most cases, the initial treatment for a SLAP injury is nonsurgical. Nonsteroidal anti-inflammatory medication. Drugs like ibuprofen and naproxen reduce pain and swelling. Physical therapy.
What diagnostic exam test is often times positive with a SLAP lesion?
In addition, several special tests can be used to help identify the presence of a SLAP lesion including the Clunk test, the crank test, O’ Briens, Anterior Slide test, Biceps Load I and II test, and the Active Compression test.
What causes Sublabral foramen?
The sublabral foramen (or hole) occurs when an intact anterosuperior labrum is not attached to the glenoid rim, typically between 1 and 3 o’clock, and has a prevalence of 11% to 21%. The middle GHL usually remains attached to this loose labrum and may appear either flat or sheet-like or thickened and cord-like.
What is the difference between a torn labrum and a torn rotator cuff?
A classic overuse injury, swimmer’s shoulder occurs when repetitive overhead motions (like swimming, throwing, etc.) cause inflammation in the rotator cuff, compressed tendons and reduced blood flow. Labral tears, on the other hand, can result from both the wear and tear of repetitive motion or from traumatic injury.
Can SLAP lesions heal without surgery?
Typically, patients with SLAP injuries that are less severe, involving either a partially torn labrum or frayed labrum, will find that physical therapy alone will improve their symptoms. However, if symptoms do not resolve after 6-12 weeks of physical therapy, surgery is necessary for a full recovery.
What diagnostic exam test is often times positive with a slap lesion?
Can you see a torn labrum on an MRI?
The sensitivity and specificity of MRI in diagnosing labral tears were 0.52 and 0.89, respectively. Conclusion: Non-contrast MRI is reliable only for diagnosing full thickness rotator cuff tears and anterior labral tears.