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Buford complex at 2 o’clock

 •  • by Paul Ingraham
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Weekly nuggets of pain science news and insight, usually 100-300 words, with the occasional longer post. The blog is the “director’s commentary” on the core content of PainScience.com: a library of major articles and books about common painful problems and popular treatments. See the blog archives or updates for the whole site.

A Buford complex is a deformity of the glenoid labrum (rim of shoulder socket cartilage), a missing section in the 1-3 o’clock 🕑 position, plus a thickened, cord-like glenohumeral ligament. About 3% of individuals have this! Not exactly rare.

Naturally, it can get mistaken for a rip. Radiopaedia.org:

“There are a number of glenoid labral variants, whose importance is mainly due to the fact that the unwary may misinterpret them as pathology.”

There is a lot of variety in anatomy, and a huge gray zone between “just quirky” and “well there’s your problem!”

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