Spine ultrasound at 1 day of age showed a cystic mass overlying the conofilar junction at the L3 level measuring 12 × 5 × 5 mm (Fig. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. Asymmetric or malformed Gluteal cleft. For paediatric measurements, see the article spleen size (paediatric) The spleen has two poles. The most common neural tube defects include anencephaly, which affects brain and skull development and is incompatible with. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. Citation, DOI, disclosures and article data. Serves as attachment site for the hamstrings, adductor. 2% of patients undergoing buttock augmentation with fat grafting were females, with 80% of patients between 18 and 50 years of age. Q30. Skin Fold Gluteal Cleft. Data were analyzed on 151 newborns; average age at the time of USG was 1. But congenital bifid tongue occurring in the absence of other orofacial abnormalities is very rare. Treatment of a gluteal injury depends upon the type of the trauma. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. The 2024 edition of ICD-10-CM Q82. In our practice, most abnormal gluteal clefts receive ultrasounds to check for associated intraspinal abnormalities, although the risk of an intraspinal abnormality with a truly isolated bifid gluteal cleft is very low. The muscles of the gluteal region can be broadly divided into two groups: Superficial abductors and extenders – group of large muscles that abduct and extend the femur. Feeding difficulties, such as food coming out of their nose. Q82. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. Nevertheless, accurate classification of these lesions is. [3]A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. The gluteal region, commonly known as the buttocks or glutes, is the posterior part of the pelvic area. 1% (in Germany) to as high as 6. The superficial group includes the gluteus. Closed Neural Tube Defects (skin-covered lesions): ° Occult Spinal Dysraphism (OSD) Lipoma. Lesions further away from the anus, particularly those above the gluteal crease, are much more likely to be pathologic in nature than ones closer to the anus and overlying the coccyx. 8 became effective on October 1, 2023. The edges are diffuse and irregular. Included in these groups were several variations. It can be found anywhere between the sacrococcygeal joint and. Gluteal cleft is the vertical partition which separates buttocks. Its volume is on average between 100 to 300 cm 3,12. The 2024 edition of ICD-10-CM S31. A common treatment method for pilonidal cysts and abscesses is incision and drainage. The bump can be small like a pimple or much larger and can cause pain when sitting or bending over. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. Performing an efficient, accurate and respectful examination aids in the prompt diagnosis and management of pediatric genitourinary issues. situated between the buttocks… See the full definition We would like to show you a description here but the site won’t allow us. Serum chemistries were normal, including a blood urea nitrogen (BUN) and a creatinine of 4. and tenderness in the gluteal cleft seen with a pilonidal abscess. 5. Variation in initial management of neonatal lumbosacral findings by clinicians in the BORN Network was seen most often for deviations of the gluteal crease, flat vascular macules, and coccygeal hair. Oct 16, 2008 #2 you're joking right? ? M. According to these authors, this deformity occurs because of direct elevation of the gluteal cleft, and medial redistribution of excess inferior gluteal tissue into the cleft. Open Neural Tube Defect °SpinaBifidaAperta,Myelomeningocele. It happens when muscles don’t fuse during fetal development. The frequency of the cleft chin varies widely among different populations. Purpose The gluteal region is a key element of beauty balance and sexual appearance. 072 - other international versions of ICD-10 M10. It is also called butt crack or ass crack. 819A - other international versions of ICD-10. Definition. Neural tube defects are a spectrum of disorders that can affect the brain or the spinal cord. ) Sacral Dimple A sacral dimple is a common benign lesion that needs to be differentiated from a dermal sinus tract. 95. Causes of bifid uvula may include: Genetics. Sign in to MyChart. Applicable To. A bifid nose (also known as cleft nose) is an uncommon congenital malformation which is characterized by the presence of a cleft between the two nostrils of the nose. <br/><br/><br/>Wishing you the very best for your upcoming appointment. 155 Other ear, nose, mouth and throat diagnoses with cc. It is a visible border separating ass into two parts. Abstract. The sacrum consists of five fused sacral vertebral and costal segments (numbered one-to-five) that form a central sacral body and paired. 20. The area of the gluteus maximus known as the gluteal crease (also called the gluteal. The main artery in the gluteal region is the internal iliac artery, which gives off branches, namely the superior gluteal artery, inferior gluteal artery, and internal pudendal artery. There’s gotta be. In many situations they heal on their own. Clefts are described based on the structures involved (lip, alveolus, hard palate, soft palate), laterality (unilateral. For decades, shaving the gluteal hair for the rest of the patient’s life was a standard postoperative recommendation for. I think getting the ultrasound is a great idea because we do want to see if there is an issue with the lower part of the spinal cord. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. extends hip. Video shows what gluteal cleft means. Vital signs were within normal limits. Pulseczar ( talk) 16:00, 29 November 2007. Hey Ladies. 3 in 1000 births. gluteal cleft with associated midline pits. Sacral dimples / pits associated with the following should raise your concern: [Wu, 2020; Zywicke, 2011] Multiple dimples; Not. It is a visible border. 1. Fig. Lots of people will have a bifid uvula, up to 11% of the population (Fekaa, 2019), and for some people, it doesn’t affect them in any way. Evaluation for potential OSD usually. Polydactyly may be an isolated abnormality but warrants a careful physical examination to investigate for other genetic abnormalities. 57: Hydronephrosis: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Male/8. Stumbling or changes in gait or walking. For pediatric measurements, see the article spleen size (pediatric) The spleen has two poles. The majority of OSD lesions (99 patients [81%]) were filar abnormalities, a group including FFT and low-lying conus. The fascia is pierced by the nerve in the popliteal fossa, and it terminates with twigs joining the sural nerve. This is mostly a problem with HSG preoperative evaluation. 3 Loose hairs trapped in the. Structure and Function. They are more common in people of German and Polish ethnicity. Hyperkeratotic lichenified skin lesion of the gluteal region is a cumbersome name that describes the condition very well. Some healthcare providers call a bifid uvula a “cleft uvula. kidney. In the neonatal period the asymmetry of the gluteal folds and odier skin folds is usually not as apparent as it is in diis infant. 0. C: Photograph showing a large dermal sinus superior to gluteal crease. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. Cleft palate refers to a gap, split, or defect in the midline of roof of mouth between the oral and nasal cavities. It is important to remember that this is a normal anatomical feature and is generally not a cosmetic concern. 🚨 3 GLUTE ACTIVATION REHAB EXERCISES 🚨 The gluteal muscles are one of. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM. A 45-year-old man presented with a pink nodule on the superior left buttock, approximately 1 cm lateral of the gluteal cleft (Figure). Synonyms: able to sit with support, unable to sit. Scaly plaques may sometimes occur however,. That being said, there are several surgical procedures that can be used to reduce the appearance of the gluteal fold. Although gluteal lift as part of the. 124 terms · Homology → inheritance from common ancest…, Tissues → collections of large numbers o…, Organs → functional structures always c…, Organ systems → collection of organs that syne…, Describe the anatomical position → Body erect; feet flat, facing…IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. Pilonidal disease is a reaction to hair in the gluteal cleft, in which unattached hairs injure or pierce the skin, resulting in a foreign body reaction. Gluteal fold. A lump of the lower back. Pilonidal disease is a potentially debilitating condition affecting ~70,000 patients annually in the United States alone. For efficiency and practicality, the focus is commonly on major structural anomalies. segment is planned to be stabilized with fixed partial dentures to be placed for replacing the missing teeth at the cleft site. 02) and (2) deviated gluteal crease (P = . A bifid uvula is an abnormal split or division in the uvula, or tissue that hangs down at the end of the soft palate in the roof of the mouth. About 3 to 8 percent of the population has a sacral dimple. It also can cause a child to develop more slowly than usual, for example, in walking, talking or learning new things. RESULTS. 49. Bifid tongue; Congenital adhesion of tongue; Congenital fissure of tongue; Congenital malformation of tongue NOS; Double tongue; Hypoglossia;The gluteal fold, also known as the gluteal cleft, is the natural crease or groove between the buttocks. This can affect around 0. -- AnemoneProjectors ( talk) 13:58, 20 August 2006 (UTC) [ reply] That's a really nice gluteal cleft in that picture. Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. subcostal, ilioinguinal and iliohypogastric nerves. zoemcr. 08% of the population (Ten Dam etCitation, DOI, disclosures and article data. ”. 1 An occult spinal dysraphism (OSD) is covered by normal or near-normal skin, usually delaying diagnosis. Gluteal fold. e. 2020a). [L. A paradigm of watchful waiting with clinical follow-up in truly isolated gluteal clefts is reasonable as well. Rarely, one of the branches of a bifid ureter will be blind-ending and will not unite 2. from publication: Importance of Physical Examination and Imaging in the Detection of Tethered Cord Syndrome | Tethered cord syndrome (TCS) is. Showing 1-25: ICD-10-CM Diagnosis Code L02. Complete 10 to 15 reps. 02). Affected individuals. a. Feeding difficulties, such as food coming out of their nose. Markers of Spinal Dysraphism (cont. Buttock Gluteal crease Gluteal foldbranches and supply: gives origin to a complex network of small branches which follow the celiac artery branches and extends inferiorly to the superior mesenteric plexus and laterally to the aorticorenal plexus. Junctional cleft of kidney; URL of Article. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. A dorsal view of die same infant shows the asymmetric gluteal folds and odier skin folds. Sacral dimple ultrasound – sagittal. Pain or tingling the legs or back; Curvature of the spine By Perrine Juillion / October 25, 2019. Includes the gluteus maximus, gluteus medius, gluteus minimus and tensor fascia lata. Additionally, the cleft lift procedure is an excellent solution for the difficult situations that come up in pilonidal patients with perianal and recurrent disease. Treatment options are extensive but most often include incision and drainage with. The split may extend further back into the mouth, but it does not extend to the base of the tongue. Reply. Pediatricians have been comfortable with assessing as insignificant the common low-lying midline dimple or deviated gluteal folds found at the nursery or first well-infant examination. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. RM2AM2PGG – The treatment of lateral curvature of the spine : with appendix giving an analysis of 1000 consecutive cases treated by posture and exercise exclusively, without mechanical supports . Vital signs were within normal limits. Mark: Sounds as though you may have developed a fissure, or something like it. 1 Global variations in incidence have been reported, ranging from 0. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Atypical dimples may be located higher up on the back or off to the side. ANSWER: SACRAL DIMPLE The patient has an unusual sacral crease and sacral dimple. The cyst occurs due to hair burrowing under the skin and promoting an inflammatory response. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Statement of Purpose. We would like to show you a description here but the site won’t allow us. The remainder of the exam was essentially normal. Figure 3 Ptychotropic porokeratosis showing a keratotic plaque on the medial right buttock close to the natal cleft. 1. A pilonidal sinus affects the natal cleft, which is the top of the crease of the buttocks, just under the tailbone. Medially, it is separated by an intergluteal cleft, while laterally, it is bordered by the hip region. These cysts are usually caused by a skin infection and they often. ICD-10-CM Q30. Small amounts of pain that go away after a few days. Bifurcated gluteal fold: CM ends at L2-3: Not performed: None: Male/5. Serum chemistries were normal, includingThese dimples are located at or near the tip of the coccyx within the gluteal cleft and are visible only when the buttocks is parted (Figure 1A). But if it's infected, the skin around the cyst may be swollen and painful. ), and the gluteal cleft is normal. i left that clt's home feeling very embarrassed because i was unsure of how to describe it on paper. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. Deviated gluteal creases varied in appearance from S-shaped to mostly straight with a superior angulation. The hip joint is the most stable joint in the body and is supported by a very strong capsule and several. 4. Reflect the skin flap over the gluteus maximus laterally. The intergluteal cleft (a. 69 - other international versions of ICD-10 P02. The rate of OSD ranged from 12% for patients. The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. Keep the skin of the diaper area clean and dry. Some people have a higher or a lower one. I was merely ruling out an Acute Anal Fissure by the Q and A, which is a tear in the anus and is very painful during passage of. Among the total population, 41 percent of patients with C. 2 Although there are conflicting etiological theories, the current consensus holds that pilonidal disease is an acquired condition intimately related to the presence of hair in the gluteal cleft. Most sacral dimples are harmless and don't need treatment. Q30. It may be due to an allergy, a virus, a fungal or bacterial infection, or another health condition. DX? dmaec True Blue. The superior gluteal nerve arises from the posterior divisions of the sacral plexus along with the sciatic nerve, inferior gluteal nerve, and coccygeal plexus. This means that the butt crack will appear off-center. Subcutaneous lipomas. Gluteal tendinopathy is a common cause of hip pain, especially in older women. Similar. What is deviated gluteal cleft? The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. The revision was initially successful in 96. Anterior relations include: colon. Dimples that may require further investigation are those that are large. 898 is a billable diagnosis code used to specify oth symptoms and signs involving the musculoskeletal system. Popliteal . Fig. Re: Upper gluteal cleft (buttcrack) is bleeding. It can appear as a small fissure or split, or there might be two separate tongues on either side of your normal one. Radiographic features Ultrasound. The revision flattened the lower gluteal cleft with a rotation and advancement flap that placed the skin incision off-midline. This is the American ICD-10-CM version of Q82. Colloquially the intergluteal cleft is known as bum crack (UK) or butt crack (US). For other people, a bifid uvula could be related to a condition called a ‘submucous cleft palate’. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. The gluteal region, commonly known as the buttocks or glutes, is the posterior part of the pelvic area. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. They are caused by interaction of genetic and environmental factors, and are prevented with folate supplementation. Although the use of an incision that crosses the vertical gluteal fold to excise the pilonidal cavity does eliminate a vertical suture line within the gluteal fold, healing times may remain considerable. The 2024 edition of ICD-10-CM Q82. It is formed from the L4-S1 nerve roots and shortly after forming exits the pelvis through the greater sciatic foramen. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. This pain is caused by the muscles, skin, and blood vessels in your buttocks pressing on nerves. The coccyx (plural: coccyges) is the series of rudimentary vertebrae forming the caudal termination of the vertebral column and is positioned inferior to the apex of the sacrum. This gap happens during fetal development in the uterus. Pilonidal disease can be a chronic, recurring condition so. The highest portion of the intergluteal crease—that is, line A for the XYZ technique—was marked to keep the incision hidden in the intergluteal crease. Neural tube defects are a spectrum of disorders that can affect the brain or the spinal cord. The surgical management of pilonidal disease is in a state of flux with a shift away from the larger morbid operations which involve wide excision of the sinus containing tissue, down to the post sacral fascia combined with either primary or flap closure []. Neurological examination was normal, and subsequent urodynamics study was also normal. 3%. Messages 1,130 Location Hibbing, MN Best answers 0. The thickness of the excised tissue and of the mobilized flap is only 2–3 mm and the incision line is also somewhat different. 5 cm broad and 12 cm in length. -Pelvic abscess extending intobuttock inpostoperative patient. The estimated overall incidence of pilonidal disease is 26:100,000. It’s a visible crease where the buttocks naturally fold over and create a physical line in the skin. The coccygeal region has complex anatomy, much of which may contribute to or be the cause of coccyx region pain (coccydynia). Bifid tongue as an associated feature of this. , Superiorly: iliac crest (at L4),. Ultrasound. The gluteal region and posterior thigh contain various blood vessels and nerves that supply the muscles, bones, and skin of the region. The medical term for the crease of the buttocks is the gluteal cleft. 2 Comments. The. Pilonidal Cyst. The condition may resolve spontaneously. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. (Photo contributor: Louis La Vopa, MD. This is the American ICD-10-CM version of S31. 1 |. Linear lesions in the intergluteal cleft are caused by moisture with or without a friction component and should be classified as intertriginous (between skin folds) dermatitis (inflammation of the skin). Risk factors include hair in the gluteal crease, obesity, sedentary lifestyle, and local. Bifid uvula occurs when the two sides of the roof of your child’s mouth do not properly join during development, similar to cleft palate. ICD-10-CM Coding Rules. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. 4). supplies the distal esophagus, stomach, spleen, liver (via the hepatic plexus ), gallbladder, pancreas and proximal duodenum. 5. The intergluteal cleft is located superior to the anus . In those that are especially deep and hairy, the natal cleft can be the site of a very nasty condition. What is intertrigo?. The only way to prevent palpable or visible implants (the major causes of a poor result) is through the intramuscular plane. Also known as the Natal Crease. Pus or blood leaking from an opening in the skin. 6 - other international versions of ICD-10 Q82. Hemivertebra is a congenital vertebral malformation found either in isolation or associated with multiple other anomalies with an incidence of 0. Gross anatomy. follicles, causing pores or “pits” to open in the cleft. A bifid uvula, is a uvula that is split in two. The superior tip of the intergluteal. Continue this incision through the popliteal fossa to the upper calf. ANSWER: SACRAL DIMPLE. Pilonidal Cyst. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. The gluteal muscles can be divided into 2 groups that are responsible for the main movements of the hip joint Hip joint The hip joint is a ball-and-socket joint formed by the head of the femur and the acetabulum of the pelvis. Extends inferiorly form the sacrum, located at the top of gluteal cleft. A bifid uvula is sometimes referred to as the mildest form of a cleft palate. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. The ICD code L05 is used to code Pilonidal cyst. 0 cm at D/C Gluteal cleft: Resolved in 11 d. As skin is drawn tight over the gluteal cleft with movement, hairs are drawn deeper into the pore. A bifid nose is a relatively uncommon malformation that is characterized by the nose being divided into two parts. What superficial region is directly posterior to the knee. Gross anatomy. Applicable To. In our practice, most abnormal gluteal clefts receive ultrasounds to check for associated intraspinal abnormalities, although the risk of an intraspinal abnormality with a truly. Included in these groups were several. ) View. Crease between the left and right buttocks. bilateral gluteal creases to the top of the gluteal cleft. Definition. Gluteal pain are occurs mostly due to overuse of muscle pain to minor muscle strains or infections or injuries, there are too many causes of pain that require proper diagnosis and treatment and mostly relieved with rest, medical treatment, and Physiotherapy exercises. Gluteal Region is the back and side of lateral half of pelvic region. e. 1 The underlying cause of pilonidal disease is. 96. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. t know I had psoriasis of the gluteal cleft until I joined this community and read others' experiences with it. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. The purpose of this clinical report was to provide pediatric care providers with an overview of these CNS malformations and their cutaneous manifestations, discussing. Known risk factors include family history, local trauma, sedentary occupation, and obesity. Coccydynia is a common condition that is known to be difficult to evaluate and treat. 3 Types of Surveillance Programmes. It is decorated from the upper side with rhinestones and colorful studs. Fig. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. The purpose of this study was to perform an anatomical description of the infragluteal fold (IGF) matching radiological and. A typical cleft palate is noticed when a baby is born because it looks like an obvious opening in the roof. Many of these patients had endured repeated, failed, wide excisions. This type of cleft is caused by a separation of the speech muscle under the surface of the palate. #####. A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. 5 cm thick, 7. 8. Gluteal cleft is the vertical partition which separates buttocks. (1) (2) These defects, which result from abnormal fusion of the neural tube during embryonic development, are placed into two broad categories: open and closed. In our practice, most abnormal gluteal clefts receive ultrasounds to check for associated intraspinal abnormalities, although the risk of an intraspinal abnormality with a truly isolated bifid gluteal cleft is very low. The skin split due to over stretching of the gluteal cleft. Eleven percent of study infants had 2 or more low-risk cutaneous findings excluding slate-grey patches. Pediatric Dermatology. A physical exam showed a bifid gluteal crease and a sacral dimple but was otherwise normal with intact lower extremities and without abnormal muscle tone or focal neurological deficits. CONCLUSION. Here, we discuss a case of bifid tongue involving the anterior one-third of tongue, reported. The patient reports that the area gets inflamed and tender to the touch, preventing him from comfortably sitting. 3/20/2015 19Introduction. The coccygeal region has complex anatomy, much of which may contribute to or be the cause of coccyx region pain (coccydynia). Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. It is the deep furrow or groove that lies. The recurrence rate is reported to be 1. Within the gluteal region, the nerve is situated underneath the gluteus maximus muscle, and overlies the sciatic nerve. Discussion. It can be seen as a triangular echogenic cortical defect, frequently seen in upper lobe parenchyma. Solitary, midline pits located entirely within the gluteal cleft rarely have clinical significance. A gluteal cleft is a gluteal cleft, it doesn't matter if we have a picture of a male or female one. k. While the gluteal crease scar is not an issue in Asian culture, it could be a concern in other cultures (Denadai et al. While the gluteal crease scar is not an issue in Asian culture, it could be a concern in other cultures (Denadai et al. bifidus, cleft in two parts]Congenital bifid tongue in association with various other orofacial abnormalities has been reported, many of which have been linked to various syndromes. 1% of patients; if the procedure was unsuccessful a repeat revision was. The submucous cleft palate (SMCP) is often considered the most subtle type of all palate clefts. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. e. It can be just a little bit out of place, sitting. Definition: Scrotal midline indentation or cleft with absent scrotal raphe. Deep gluteal syndrome is pain and numbness you feel in your buttocks (bottom) that can sometimes go down the back of your leg. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. The vertical line starts from sacrum to the perineum. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. gluteal cleft synonyms: gluteal. The gluteal region comprises of superficial and deep muscle groups. Psoriasis of the gluteal cleft known as the crease between the buttocks is not an easy symptom to treat. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. < 5 mm diameter. fold [fōld] plica; a thin margin curved back on itself, or doubling. Gluteal implants are an effective and predictable way to remodel the buttocks. gluteal cleft (plural gluteal clefts) The groove between the buttocks that runs from just below the sacrum to the perineum. abducts and medially rotates thigh. A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. 5–0. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for.