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Background: 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.
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http://dx.doi.org/10.1016/j.jse.2020.08.037 | DOI Listing |
Front Nutr
August 2025
Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Background: Older adults use nutritional complementary and alternative medicine (CAM) to reduce the risk of (or treat) non-communicable conditions and diet deficiencies. While prior research has explored the individual use of dietary supplements, vitamins, and minerals among older adults, few studies have examined factors influencing the combined use of these modalities, especially among Southern, older adults in the United States.
Methods: Data were extracted from 419 participants from the University of Alabama at Birmingham Study of Aging II, a population-based longitudinal study of mobility among community-dwelling older adults.
Plant Dis
July 2025
USDA-ARS Cereal Disease Laboratory, SAINT PAUL, Minnesota, United States;
As Ethiopia pushes towards self-sufficiency in wheat production, it has escaped large outbreaks of Fusarium head blight (FHB), a disease that threatens wheat production globally. However, in 2022, FHB incidences in Ethiopia rose to 80%, with some areas experiencing 100% disease severity. Here we provide insights into the etiology of this disease outbreak and point towards future directions to mitigate the emerging threat of FHB on a global scale.
View Article and Find Full Text PDFToxics
June 2025
Office of Innovation and Analytics (OIA), Agency for Toxic Substances and Disease Registry(ATSDR), Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS), 4770 Buford Highway, Mailstop S106-5, Chamblee, GA 30341, USA.
Metal exposure is a potential risk factor for amyotrophic lateral sclerosis (ALS). Increasing evidence suggests that elevated levels of DNA damage are present in both familial (fALS) and sporadic (sALS) forms of ALS, characterized by the selective loss of motor neurons in the brain, brainstem, and spinal cord. However, identifying and differentiating initial biomarkers of DNA damage response (DDR) in both forms of ALS remains unclear.
View Article and Find Full Text PDFJ Orthop Sci
May 2025
Gazi University School of Medicine, Department of Orthopaedics & Traumatology, Ankara, Turkey.
Background: This study aimed to investigate the relationship between the arthroscopically demonstrated Buford complex (BC) and scapular morphology in patients with anterior shoulder instability (ASI) and rotator cuff tears (RCT). We hypothesized that there may be a relationship between BC and scapular morphology.
Material And Methods: 1947 consecutive shoulder arthroscopy cases performed between 2015 and 2023 were retrospectively evaluated.
JSES Rev Rep Tech
May 2025
Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA.
The Buford complex, defined as a cord-like middle glenohumeral ligament with an absence of the anterosuperior labrum, is the rarest anatomical labral variant of the shoulder and occurs in 1.5% to 6.5% of the general adult population.
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