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.