The Buford complex: prevalence and relationship with labral pathologies

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dc.contributor.authorOzer, Mustafa
dc.contributor.authorKaptan, A. Yigit
dc.contributor.authorAtaoglu, M. Baybars
dc.contributor.authorCetinkaya, Mehmet
dc.contributor.authorAyanoglu, Tacettin
dc.contributor.authorInce, Bulent
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2024-02-23T14:13:03Z
dc.date.available2024-02-23T14:13:03Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackground: This study aimed to determine the prevalence of the Buford complex and to investigate its association with labral pathologies (superior labrum anterior-posterior [SLAP] lesion and anterior, posterior, or multidirectional instability) using a very large patient database. Furthermore, the prevalence of the Buford complex in patients without any labral pathology was also determined. Methods: A total of 3129 consecutive shoulder arthroscopy procedures were retrospectively evaluated for the presence of the Buford complex and coexisting labral pathologies. The relationships between the Buford complex and SLAP lesions, as well as instability, were evaluated statistically. Results: The Buford complex was observed in 83 shoulders (2.65%). SLAP lesions were significantly more frequent in patients with the Buford complex than in those without it (81.9% vs. 33.1%, P < .001) Shoulders with the Buford complex presented a lower frequency of anterior instability (10.8% vs. 19.3%, P = .052) and a higher frequency of posterior instability (1.2% vs. 0.9%, P = .789). The prevalence of the Buford complex in patients with and without labial pathologies was 4.6% and 0.3%, respectively (P < .001). Conclusions: This study, to our knowledge, includes the largest cohort in the literature reporting the prevalence of the Buford complex (2.65%). In the 1461 patients without labral tears or multidirectional instability, the prevalence of the Buford complex was 0.3%. This result suggests that the real prevalence of the Buford complex might be lower than that reported previously. In addition to the aforementioned conclusions, the identification of the Buford complex should prompt a thorough evaluation for concomitant SLAP lesions. (C) 2020 Published by Elsevier Inc. on behalf of Journal of Shoulder and Elbow Surgery Board of Trustees.en_US
dc.identifier.doi10.1016/j.jse.2020.08.037
dc.identifier.endpage1361en_US
dc.identifier.issn1058-2746
dc.identifier.issn1532-6500
dc.identifier.issue6en_US
dc.identifier.pmid32949757en_US
dc.identifier.scopus2-s2.0-85098667900en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1356en_US
dc.identifier.urihttps://doi.org/10.1016/j.jse.2020.08.037
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12276
dc.identifier.volume30en_US
dc.identifier.wosWOS:000657485100029en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofJournal Of Shoulder And Elbow Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBuford Complexen_US
dc.subjectLabrumen_US
dc.subjectSlap Lesionsen_US
dc.subjectAnterior Instabilityen_US
dc.subjectPosterior Instabilityen_US
dc.subjectMiddle Glenohumeral Ligamenten_US
dc.titleThe Buford complex: prevalence and relationship with labral pathologiesen_US
dc.typeArticleen_US

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