Buford Complex
authors, Raghuram K. Rao, MD, MPH & Andreas Von Ritschl, MD
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Clinical History:
This is a 47-year-old male who has a chronic history of shoulder pain.
Diagnosis:
Buford Complex
MR Technique:
3.0 T scanner (Siemens Verio) using a shoulder array coil after administration of diluted intra-articular contrast, which included 0.2 ml of gadolinium chelate. Image 1: axial T1-weighted turbo spin echo image with fat suppression (TR/TE 763/23 ms, scan time 1 min 50 sec, slice thickness 3 mm); Image 2: coronal T1-weighted turbo spin echo image with fat suppresion (TR/TE 731/21 ms, scan time 2 min 18 sec, slice thickness 3 mm); Image 3: sagittal T1-weighted turbo spin echo image with fat suppression (TR/TE 797/20 ms, scan time 2 min 22 sec, slice thickness 3 mm).
Imaging Findings:
There is cord-like thikcening of the MGHL (Images 1, 2, 3) with deficiency of the anterior superior labrum (Image 2, 3). These findings are classic for a Buford complex. Besides mild degenerative changes of the acromioclavicular joint (not shown), no other traumatic findings or internal derangement was seen in the shoulder.
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