The Buford complex: Prevalence and relationship with labral pathologies

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dc.authorid0000-0002-3089-9913
dc.authorid0000-0002-4199-836X
dc.authorid0000-0002-2369-8056
dc.authorid0000-0003-1359-7013
dc.authorid0000-0002-8028-7253
dc.authorid0000-0002-9807-9305
dc.contributor.authorÖzer, Mustafa
dc.contributor.authorKaptan, Ahmet Yiğit
dc.contributor.authorAtaoğlu, Muhammet Baybars
dc.contributor.authorÇetinkaya, Mehmet
dc.contributor.authorAyanoğlu, Tacettin
dc.contributor.authorİnce, Bülent
dc.contributor.authorKanatlı, Ulunay
dc.date.accessioned2021-06-23T18:57:33Z
dc.date.available2021-06-23T18:57:33Z
dc.date.issued2021
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_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 labral 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.en_US
dc.identifier.doi10.1016/j.jse.2020.08.037
dc.identifier.endpage1361
dc.identifier.issn1058-2746
dc.identifier.issue6
dc.identifier.pmid32949757en_US
dc.identifier.scopus2-s2.0-85098667900en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1356
dc.identifier.urihttps://doi.org/10.1016/j.jse.2020.08.037
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5211
dc.identifier.volume30
dc.identifier.wosWOS:000657485100029en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAyanoğlu, Tacettin
dc.language.isoenen_US
dc.publisherMosbyen_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.subjectAnterior Instabilityen_US
dc.subjectBuford Complexen_US
dc.subjectCross-Sectional Designen_US
dc.subjectEpidemiology Studyen_US
dc.subjectLabrumen_US
dc.subjectLevel IIIen_US
dc.subjectMiddle Glenohumeral Ligamenten_US
dc.subjectPosterior Instabilityen_US
dc.subjectSLAP Lesionsen_US
dc.titleThe Buford complex: Prevalence and relationship with labral pathologiesen_US
dc.typeArticleen_US

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