Wind-swept pelvis in poncet’s disease: A rare case report

Abstract

Introduction: Windswept pelvis is a rare feature seen in Poncet’s Disease. This rare entity is found in cases with long standing disease. One hip is flexed, adducted and internal rotated while the contra lateral hip is flexed, abducted and external Rotated. Windswept hip deformity may occur in association with hip dislocation and scoliosis. Children with cerebral palsy (CP) exhibit spasticity, muscle weakness, and immobility, in combination with an inability to deal with the effects of gravity. Thus, these children are at risk of developing muscle contractures, hip dislocation, windswept hip deformity (WS), and scoliosis, either in isolation or in combination. Case Report: A 14 year old female patient started having pain over Right hip with gradual restriction of movements. . Right hip was fixed in 30 degree of flexion, 20 degree adduction and 25 degree of internal rotation. . Hip MRI was done which showed hyper intensity in superolateral portion of femoral head and corresponding part of acetabulum, ilio-psoas involvement. CRP was positive with ESR- 32mm/hr at the start of disease 1 year back. ASO titre