Letts M, Shapiro L, Mulder K, Klassen O
J Pediatr Orthop. 1984 Jan;4(1):55-62. doi: 10.1097/01241398-198401000-00013.
Windblown hips in patients with cerebral palsy are difficult to treat and predispose to poor, unstable sitting. In an attempt to identify the temporal sequence between dislocation of the hip, scoliosis, and pelvic obliquity, an in-depth clinical and radiological review of 22 teenage children was undertaken. The most common temporal sequence was dislocation of the hip, followed by pelvic obliquity, and finally scoliosis. It is recommended that the hip be closely monitored in infancy and that an aggressive treatment approach be undertaken if hip subluxation occurs. This is greatly facilitated by a good orthotic, therapy, and seating program to maintain the hips in the correct position. The maintenance of hip stability will facilitate seating as well as minimize the effects of the windblown hip syndrome.
脑瘫患者的风吹髋难以治疗，且易导致坐姿不良、不稳定。为了确定髋关节脱位、脊柱侧弯和骨盆倾斜之间的时间顺序，对22名青少年儿童进行了深入的临床和放射学检查。最常见的时间顺序是髋关节脱位，其次是骨盆倾斜，最后是脊柱侧弯。建议在婴儿期密切监测髋关节，如果发生髋关节半脱位，应采取积极的治疗方法。良好的矫形、治疗和坐姿方案有助于将髋关节维持在正确位置，这对治疗极为有利。维持髋关节稳定性将有助于坐姿，并最大限度地减少风吹髋综合征的影响。
