Windswept deformity is also seen and observed in CP population either because of DDH or Scoliosis, if one of the hip is in FLEXION, ADDUCTION and INTERNAL ROTATION then what would be the position of the other hip? Which positioning is most important in order to prevent further deterioration of this child?

Persson-Bunke et al in their study titled; Windswept Hip Deformity in Children With Cerebral Palsy described a windswept hip deformity as an abduction and external rotation position of one hip while the opposite hip in adduction and internal rotation. Windswept hip deformity may occur in association with hip dislocation and scoliosis.

The windswept posture is also described as an asymmetrical posture. Furthermore, the windswept deformity is described as being windswept to the left if the left thigh is abducted and the right thigh is adducted (for example, the presentation of the patient in Fig 1, before correction, can be described as being windswept to the left). The windswept posture is associated with a triad of deformities; a dislocated (or subluxed) hip usually on the adducted side, pelvic obliquity and scoliosis. Clinically, the dislocated hip presents with pain while severe scoliosis may compromise cardiopulmonary function and the increase in pelvic obliquity increases the risk of pressure sores. [1]

Non surgical management of windswept deformities involve using a three-point control i.e. hip guides, medial thigh supports and lateral thigh supports. [1]

Reference 1: Hsu J D, Michael J, Fisk J. AAOS Atlas of Orthoses and Assistive Devices. 2008. 4th Edition. Mosby Elsevier Publishers. Chapter 6 Assistive devices. Pg 558., Reference 2