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Biceps Tendon Z-Lengthening and Brachialis Fractional Lengthening in a Patient With Cerebral Palsy

March 01, 2020

Contributors: Kanu Shri Goyal, MD, FAAOS; Austin J Roebke, BS; Emily Turnquist, BA; Amy L Speeckaert, MD, FAAOS

Case Overview: This video describes the management of cerebral palsy contractures via biceps tendon Z-lengthening and brachialis fractional lengthening. Indications, contraindications, technical pearls, and potential pitfalls are discussed. Preoperative and postoperative imaging studies are included. Method/Technique: Biceps tendon Z-lengthening and brachialis fractional lengthening are performed. The video highlights the technical aspects of the procedure and discusses clinical indications and outcomes. Results: Historical results and outcomes from the literature are presented and discussed. Summary: Cerebral palsy contractures can be managed via biceps tendon Z-lengthening and brachialis fractional lengthening. This video discusses indications for, contraindications for, technical considerations for, and outcomes of the procedure.

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