Windswept Hip Syndrome (WHS) is a triad of hip subluxation or dislocation, pelvic obliquity and scoliosis. In cerebral palsy it is one of the most difficult deformities to control and treat and it predispose to poor, unstable sitting. The aim of this study was to describe literature concerning factors which contribute to the development, prevention and management of WHS. Literature based on articles found in Medline, Arbline, Spriline and via references 1983-1999, were used. Several factors contributing to the development of WHS were identified. The dislocated hip was commonly located on the raised side of the pelvis and the convexity of the scoliosis was opposite the raised side of the pelvic obliquity. There were different opinions concerning the temporal relationship between the development of the deformities. Secondary complications to WHS were pain, loss of function, difficulties with hygiene and nursing care. Correct positioning, increased weight-bearing, muscle stretching, strengthening exercises and use of orthosis were considered useful maneuvers in preventing the deformities. Surgery for developed deformities included soft tissue surgery, osteotomy and arthrodesis. The impetus should be to prevent the development of WHS from occuring, in order to avoid serious complications on many levels.
Godkänd; 2001; 20080130 (andbra)