Image 1
Image 2
Image 3
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 thickening of the middle glenohumeral ligament (images 1, 2, 3) with deficiency of the anterior superior labrum (image 2, 3). These findings are classic for a Buford complex (a congenital labral variant where the superior labrum is absent and the middle glenohumeral ligament is thickened). Besides mild degenerative changes of the acromioclavicular joint (not shown), no other traumatic findings or internal derangement was seen in the shoulder.
