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Shoulder Stabilization Technique Using the Medial Glenohumeral Ligament in Patients With the Buford Complex

Published inArthroscopy techniques, vol. 13, no. 2, 102871
Publication date2024-02
First online date2024-01-01
Abstract

The Buford complex is an anatomic variation defined as the association of a cordlike middle glenohumeral ligament (MGHL) and an absent anterosuperior labrum. It can be challenging to properly identify on preoperative imaging and remains mostly an arthroscopic finding. It may, however, lead to problematic situations when encountered during an arthroscopic soft-tissue stabilization procedure, as the treatment of choice in such cases is a bone block. Moreover, reattaching the MGHL to the anterior border of the glenoid rim has traditionally not been recommended because it theoretically leads to severe restriction in external rotation. This technical note describes arthroscopic stabilization for anterior traumatic glenohumeral instability associated with the Buford complex. The cordlike MGHL is used to reconstruct a neo-labrum, associated with an anteroinferior glenohumeral ligament plication. Glenohumeral stabilization using the cordlike MGHL of the Buford complex may be an efficient alternative to a bone block procedure.

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Citation (ISO format)
CUNNINGHAM, Gregory et al. Shoulder Stabilization Technique Using the Medial Glenohumeral Ligament in Patients With the Buford Complex. In: Arthroscopy techniques, 2024, vol. 13, n° 2, p. 102871. doi: 10.1016/j.eats.2023.10.013
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ISSN of the journal2212-6287
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Creation04/11/2024 5:30:55 PM
First validation05/28/2024 10:01:12 AM
Update time05/28/2024 10:01:12 AM
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