ArticleArchives of rehabilitation research and clinical translation2026
Ultrasound-Guided Percutaneous Distal Biceps Tenotomy for Fixed Spastic Elbow Contracture in Cerebral Palsy: Case Report and Technical Note.
Article in Archives of rehabilitation research and clinical translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fixed spastic elbow flexion contracture is a frequent and disabling problem in chronic upper motor neuron syndromes, including cerebral palsy (CP), in which sustained hypertonia and long-standing immobility may lead to musculotendinous shortening, skin breakdown, pain, and major hygiene and positioning limitations. We report a 63-year-old woman with severe spastic CP (Gross Motor Function Classification System Level V) presenting with a fixed left elbow flexion posture associated with antecubital maceration and caregiver burden. Multiple cycles of botulinum toxin type A failed to improve passive range of motion, and diagnostic nerve blocks, including a musculocutaneous nerve block, produced no gain in elbow extension, supporting a fixed contracture. The patient underwent ultrasound-guided percutaneous distal biceps tenotomy in an outpatient setting under local anesthesia using an 18-gauge Nokor needle, with real-time identification of adjacent neurovascular structures. Near-complete passive elbow extension was achieved immediately after the procedure. A localized hematoma was observed without compartment syndrome or ultrasound evidence of collection. At 6 months, range of motion improved from -90° to -30°, and resistance to passive movement decreased (Modified Ashworth Scale from 4 to 1). Two predefined Goal Attainment Scaling targets were met at follow-up (0 and +1), and the Patient Global Impression of Change indicated substantial improvement (+2). Ultrasound-guided percutaneous distal biceps tenotomy may represent a feasible, well-tolerated, minimally invasive option for selected patients with fixed spastic elbow contracture when dynamic spasticity is no longer modifiable, potentially improving care-related outcomes while avoiding conventional surgery in medically complex individuals.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.