Original poster's comments (5) 3. Dimples that may require further investigation are those that are large. How to use gluteal in a sentence. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. Subcutaneous fat topography, and 4. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. Handler Download MyChart to connect with your care team. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. L30. A normal gluteal fold should look like two small curves that lie underneath the butt and follow the shape. Both types of dimples are usually present at birth. 5 mm. On examination, a violaceous erythema with a rim scale on the gluteal crease and perineum was noted. Figure 2: (A) Greater trochanter, (B) Point of maximal projection of the mons veneris, (C) Point of maximal gluteal projection, (D) Anterior superior iliac spine. From the syringe, the fat grafting is slowly performed through a 6-mm tube and a custom. Gonzalez et al. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. a birthmark in the area. As an aside, plastic surgeons want you to know the “most attractive” gluteal crease is a v-shaped one. Multiple dimples were encountered in 1. Sacral dimples and pits are much more commonly found than are closed neural tube defects. Gently tucking your pelvis and driving your heels into the floor, lift hips straight up toward ceiling. 2021 Apr; 4 (2):V10 Epub 2021 Apr 01 View PubMed; Bookland MJ, Ahn ES,. Typically, pilonidal cysts occur after puberty. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with Caucasians. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. A duplicated or bifurcated gluteal fold was the most frequent cutaneous manifestation as observed in 31 (46%) infants and gluteal asymmetry in 11 (16%; Table 1 and Figure 1). Humidity-loving microbes like Staphylococcus and Corynebacteria delight in hanging out in there (and other warm, moist areas like inside your belly button and in your toe cracks). The infragluteal fold consists of the inferior border of the gluteal region and is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin [3]. View publication. (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. My daughter has a y shaped cleft at the top of her bottom. D. I took my LO to see HV yesterday to be weighed and after she had weighed my LO she picked her up and noticed that at the top of her bum crack (excuse terminology) she has a V shaped crease where as i suppose normally it is just a single line. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. Some people have a higher or a lower one. Q82. Overlying these muscles is subcutaneous fat tissue. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9 is the only thing I can come up with and I am afraid that is to broad for insurance to pay. Transfer Left Trunk Muscle, Gluteal Artery Perforator Flap, Percutaneous Endoscopic Approach. The infra-gluteal crease is the distinct crease line, separating the buttocks from the thighs. Y-shaped gluteal crease: 1/1 (100%) Total: 81/87 (93%) Open in a separate window. 20–22 Cuenca-Guerra and Quezada 20 reported that supragluteal fossettes, a V-shaped crease, lateral depression, and an inferior gluteal crease are important aesthetic characteristics of the gluteal region. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. It is also known as the “butt crack” and “intergluteal cleft. g. Hemostasis was assured by electrocautery. At her check up her doctor noticed that she has a y shaped gluteal crease. Many types of procedures are performed 1:. The nerve exits the pelvis through the greater sciatic foramen. It covers the area from iliac crest from above to the gluteal fold below. Depth is minimal. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Short infragluteal fold • V-shaped crease of sacral triangle. The main goal of the Brazilian butt lift, also known as gluteal fat grafting to professionals, is to enhance your buttocks and its shape,. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. 5%. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. Buttock with gluteal fold of person with light pigmented skin color. Skin surface is broken. The gluteus maximus is the largest and most superficial of the three gluteal muscles. It is critical for one to understand the variations across ethnicities in defining gluteal esthetics. Approximately 4 cm oval, circular shaped wound. (Y-shaped) gluteal cleft in 3 8 (7%. Soft-tissue caudal appendage plus bony caudal prominence in a male infant. c. 1 The incidence of spinal dysraphism is 0. The inferior gluteal artery is a terminal branch of the anterior division of the internal iliac artery and exits the pelvis through the greater sciatic foramen. ICD-10-CM Diagnosis Code M76. Length: 7. The gluteal region is located at the back of the body, representing the transition point between the trunk and the lower limbs. Keep your arms straight as you lift the weight with your hips and glutes. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. Structure. I can not find anything in the ICD-9 book that even comes close. Sacral Dimple. ORIGINAL PAPER Proposed caudal appendage classification system; spinal cord tethering associated with sacrococcygeal eversion C. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Follow your baby's amazing development. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT: Male/0. Sacral Dimple. Right now it's unclear if she's got any of this, but our pediatrician suggested an MRI (I think) to see if her Y-shaped butt is a problem, not just a look (the top of the crease between. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. Prolonged exposure of the skin to high levels of moisture can result in acute maceration. : Sacrococcygeal dimples in the gluteal fold, also known as coccygeal pits, are observed in 2%-4% of. Our technique allows for the. V-shaped hairline that tends to run in families. Yes my son has that. Have any other moms on here. An ideal method of perineal closure after resection for low rectal cancer surgery is a topic of debate. The patient had a bra applied. The dimple in this photo is the tiny dark brown shadow below the. 8 may differ. Identify the correct stage of the pressure ulcer. arthro. A sacral dimple (also termed pilonidal dimple or spinal dimple) is a small depression in the skin, located just above the buttocks. The World Health Organization classifies most soft tissue neoplasms according to the tissue of origin. g. A concave (bowl-shaped) sore of uniform depth and size; An oozing, reddened center; A "punch-out" border with slightly raised edges; Whitish or yellowish crusting;. does any of your baby have this? I will call our family doctor to have it assessed. Proximal hamstring tendon injuries are common among active and athletic populations and exist on a spectrum. . 2-7. ” Example of wording for Severe IAD: “After assisted to a semi-prone position for exam, areas of epidermal denudement are noted on. Using verbal descriptors from Gray's Anatomy,6 I drew markings to indicate the different areas of the buttocks based on the location of bony prominences, and I added soft tissue and skin crease locations to complete the initial aid . 6 may differ. It is caused by two different but similar viruses known as herpes simplex virus 1 (HSV-1) and herpes simplex virus 2 (HSV-2) . Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. Female and Male buttocks. The skin around the ulcer can be discolored, raised, or thickened. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 10. Case description: We present a case of a 6-month-old male with a low-lying conus medullaris, lumbar syrinx, mildly abnormal urodynamic studies, and asymmetric utilization of his lower extremities observed during the evaluation of a Y-shaped gluteal cleft. The 2024 edition of ICD-10-CM L98. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%),. The overall preferred ratio was 0. Sacral dimples can be “typical” or “atypical”. 1 Given the low incidence rate of OSD at 0. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). It consists of a line at the junction of the thigh and the buttocks. (A) To locate the inferior gluteal artery perforators (IGAPs), a perpendicular line was drawn from the posterior superior iliac spine (PSIS) to the medial gluteal fold, and IGAPs were usually found around the middle third of the line. 8% had deviated or duplicated gluteal creases, 15. Among this group, 20% (46 of 235) had OSD. 8 cases per 1000 live births. One study demonstrated that isolated gluteal cleft deviation or forking. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. The buttocks are formed by the masses of the gluteal muscles or "glutes" (the gluteus maximus muscle and the gluteus medius muscle) superimposed by a layer of fat. A pilonidal cyst is a small sac that sticks up from inside the skin. No appreciable. Lateral view. 1 Given the increasing aesthetic expectations and demands regarding the shape, structure, and location of the implant, many surgical methods have. The buttock refers to the rounded bulge in the lower part of the gluteal region. Skin influences the overall shape of the buttocks. Hey Ladies. 1016/j. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. The movement of the flaps and the scar outline preserve the major esthetic relationship of the mound to the. It extends from. worried for my 7 weeks old son. S. Hypertrichosis. He seems completely healthy otherwise. Y Shaped Bottom Cleft. The rash is often very itchy. 04%, they are likely too common to be considered high risk. In 45% of the photographs, this crease was observed, formed by two lines arising in the proximal portion of the gluteal crease. In evolutionary theory of human mate preferences, WHR was suggested to have evolved. The former will not change much after the surgical procedure; however, the latter can decrease. 66 (P < 0. Herewith, we present our experience with V-Y gluteal advancement. The gluteal cleft is an anatomical characteristic found in both males and females. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. It is also the most superficial, producing the shape of the buttocks. 8. Neurosurg Focus Video. 2, 6, 7 Several syndromes associated with disorders of the connective tissue involving the elastic fibers present with structural abnormalities concerning the skin creases. Leopold N. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. Heart-Shaped Butt. 2020. It is a narrow and thick fleshy mass of a quadrilateral shape, and forms the prominence of the buttocks. Gluteal muscle contracture (GMC), as the name suggests, is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia, in severe cases hip external rotators and rarely hip joint capsule [ 1 – 3 ]. 29: Hypospadias: Coccygeal pit: CM ends at L2-3: N/A: No clinical TCS; PT: Male. The Q82. Dancing and. Posterior view and B. Aesthetic surgery of the buttocks encompasses many forms. 4 - other international versions of ICD-10 L30. The rounded shape of the buttock is due to the gluteus maximus muscle. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. Dr. This is the American ICD-10-CM version of L30. It is considered the body’s largest muscle. Gluteal tendinopathy is a common cause of hip pain, especially in older women. Origin. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. 1 Approximately 30% to 40% of patients with ankle sprains go on to subjectively report that the ankle joint feels unstable and describe episodes of “giving. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 8. • Subcutaneous mass or lipoma (sometimes seen as deviation of gluteal fold) • Hairy patch • Dermal sinus ( Sinuses opening onto skin surface, located above gluteal cleft and have a cephalically oriented tract) • Atypical Dimples : o Deep (>5mm) o >2. Vascular cutaneous changes over the mass are visible. It will go away as baby gets older. Gluteal tendinitis; Gluteal tendonitis. The outer layer of epidermal cells become over-hydrated, causing swelling which weakens the skin. 7A —Positional pseudomass in 2. Folliculitis. 5 cm (range 6–9 cm) Diameter: Range 2–2. . The 2024 edition of ICD-10-CM Q82. The underlying bony framework, 2. Gonzalez et al. A sarcoma that starts in a bone is also going to cause pain, among other symptoms. The Gluteus medius and minimus work together as hip abductors and are vital to normal. You have hair follicles over nearly all areas of your skin, including on your butt. 8, 9 The aim of this study was to investigate and compare. poor posture. Infra-gluteal Crease. Go hiking. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. Rarity: Common. 819A - other international versions of ICD-10. Stumbling or changes in gait or walking. This area is the groove between the buttocks that. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Squeeze your glutes as you do this. Table 3. The importance of full body liposuction is highlighted in what is presented as a new ratio (Supplemental Figure 3): the vertical length of the gluteal crease divided by the vertical length of the gluteal height (from superior gluteal crease to IGC). This is the American ICD-10-CM version of Q82. Its limits are (Fig. It is the most common site of intra. 6 —Prominent filum terminale in 2-week-old boy with asymmetric gluteal crease. All patients judged the outcome as very good. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Hankinson, C. sacral dimple or Y-shaped gluteal cleft) are unlikely to be associated with understudying occult spinal dysphrasim (OSD) • If covered completely by skin, otoscopic examination of the dimple often can determine if there is a bottom to the pit. Stence, Todd C. Herron A. its like an actual dimple (looks like a small hole) in the skin. 5%. , F. Your feet should be 12–16 inches (30–40 cm) from your butt. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. This topic will review the clinical manifestations, diagnosis, and management of closed spinal dysraphism. Download the BabyCentre app Opens a new window. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. a. Vascular loop is around the filum. 2. Learn more about how to deal with. ICD-10-CM Diagnosis Code L89. Low-risk skin stigmata in infants: the role of ultrasound screening. If your lump is soft and easy to move around. 33 In. Prostatic hyperplasia may cause difficulty in urination, retention of urine, and incontinence, or it may interfere with the ability to have an erection. Pediatrician. 3. Vascular SupplyThe most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. Answer: Sacaral dimple. Of 1096 infants included in the study, 24. The rash is often very itchy. age 3 months, a magnetic resonance imaging (MRI) L spine revealed a lumbar lipomyelomeningocele (2. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Vascular loop is around the filum. Accuracy of abnormal neurologic examination findings. 38. 8 became effective on. Gluteus medius is a fan-shaped muscle with its posterior third lying deep to the gluteus maximus. k. 8. The superior gluteal nerve is found in the lower pelvis and arises from the dorsal divisions of the L4, L5, and S1 nerve roots of the sacral plexus. GreenAwareness. 201. Use super vision! Ultrasound can visualize the underlying structures in children less than 3 months of age. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Tehrani. The importance of full body liposuction is highlighted in what is presented as a new ratio (Supplemental Figure 3): the vertical length of the gluteal crease divided by the vertical length of the gluteal height (from superior gluteal crease to IGC). They are on the back of the pelvic area and give padding when people sit. The patient has an unusual sacral crease and sacral dimple. Posted 06-23-17. Y shaped gluteal cleft. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. Push down on the pads with your hamstrings to fully contract your lower legs. Posted 18-03-16. V-shaped crease. Subcutaneous lipomas. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. 3 In case you were looking for something else. Apple-shaped gluteal regions are the most challenging to enhance, often requiring larger volumes in the inferior and lateral regions of the buttocks. A myelomeningocele is an obvious open malformation, the identification of which is not usually difficult. Most sacral dimples are harmless and don't need treatment. Glute imbalance can cause pain up and down the kinetic chain and can cause pain in both the affected limb, as well as the opposite side, according to Dr. The V crease is formed by two lines arising in the proximal portion of the gluteal crease. lipomas, hairy patches, deviated gluteal fold, and skin ap-pendages. A. In fact, an inflamed hair follicle ( folliculitis ) is the most common cause of red, inflamed pimples on your butt. Fat grafting allows for contouring and reshaping of the buttocks and improvement of the overall body shape, with the simultaneous benefit of fat harvesting and donor-site contouring. In split gluteal flap, only the superficial 1-1. The patient has an unusual sacral crease and sacral dimple. Warts are flat in shape and slightly raised. Gallegos D. defined the infragluteal fold as a result of gluteal ptosis secondary to sagging of the buttocks and redundant gluteal tissue [ 9 ]. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. A gluteal fold can most definitely be created. 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. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. 4 became effective on October 1, 2023. Isolated midline dimple was the most common indication for imaging. The donor site is well tolerated and scars have been hidden within the gluteal crease. which was 1. Request PDF | Intraspinal lesions associated with sacrococcygeal dimples | Unlabelled: OBJECT. Four of the most recognizable characteristics of an esthetically pleasing gluteal region are: 1. Kevin Tehrani, M. Download scientific diagram | A: Intraoperative photograph of thickened filum terminale or lipoma of filum terminale prior to sectioning. Hi ladies i just wondered if you could help me. just the Y cleft and with the signs she wouldn't normally refer her on but would for us to put our minds at rest, that was at 9 weeks and it's taken this. Pediatr Rev. Like the square butt, fat distribution, hip bone shape, and muscle development determine the shape. It is possible to create a new or more defined gluteal by adding volume to the buttocks through a BBL procedure. 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. Hi everyone hopefully someone can put my mind at rest. Leopold, Edward S. "As the pain worsens, and compensatory patterns increase, a positive feedback cycle can form which worsens the gluteal imbalance and worsen the pain," he says. Isolated midline dimple was the most common indication for imaging. Kaitlin N. 8 In practice the shape of the flap is tailored to meet the requirements of the local defect, but the long axis of the flap is centred over the inferior gluteal fold. A cosmetic desire to boost the volume and shape of the buttocks. At . Y-shaped creases. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in. Little section of the intersection between the lower buttocks and the back of the thigh is tricky business and it’s better to leave this area alone as much as possible. She explained that it needs to be watched over the next few months to see if it goes away on its own, or it might be a sign of tethered cord syndrome? She said she wasn't too concerned. 2. 6 may differ. Read below for more causes and how to treat butt boils and bumps. a 1. Deep dimples were noted in 1. Other names. 8 [convert to ICD-9-CM]. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. Skin flaking on wound bed. It has four borders - superior, anterior, posterior and medial borders; and three surfaces - gluteal, iliac fossa and sacropelvic. It makes up a large part of the shape and appearance of the hips. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy patch, and dysplastic skin) in 31. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. Feb 4, 2023 at 3:55 PM. The gluteal region refers to the general region of the. O'Neill, Danielle Gallegos, Alex Herron, Claire Palmer, Nicholas V. 4% (n = 15); all but 2 infants had 2 shallow depressions within the gluteal crease. 20-Minute Workout for Lower Glutes and a Better Under-Butt. Share. Corbett Wilkinson, Michael H. GreenSkin tags are usually raised, hand off the skin. Multiple dimples were encoun-tered in 1. Like the round butt, a heart-shaped behind is desirable but less common. If an individual has this condition, it can be corrected surgically depending on the severity. Thanks to your g. Nov 06, 2012Im 16, and i have like a Y Shape crease above my bum crackk about 1 inch long, I also have dimples in my bum: ( Its so descusting, and im so self consious. Not all oddities are problematic. The waist-to-hip ratio (WHR) is an anthropometric measure of body shape. The long elliptical shape of the flap allows coning of the tissue to form a more natural breast shape. It is calculated by taking the distance around the waist at its narrowest point and by dividing the distance around the hips and buttocks at their widest points. From there they would recommend an MRI to see if her cord is tethered. Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Centeran S‑shaped gluteal crease since age 2 weeks. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. I can’t help but worry!!! 8) GLUTEAL CLEFT DEVIATION • Minimal physiologic asymmetry to significant deviation with associated asymmetric glutes • Among the patients undergoing screening for OSD , upto 8% had asymmetric gluteal cleft deviation and 7% presented with Y shaped gluteal cleft • Unclear about the significance of an isolated deviated gluteal crease The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). Most often it occurs between puberty and age 40. 8. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 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. Atypical dimples may be located higher up on the back or off to the side. Indications. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. The skin creases at the top of the cleft (white arrow) are on either side of a prominent, but otherwise normal, sacrum and coccyx. Gluteal Deadlifts. 1,4 However, some believe all gluteal cleft anomalies other than dimples warrant further. When evaluating the posterior view (ratio of the distance between the waist and inferior gluteal crease to the maximal buttock width), respondents assigned lower scores to the buttock ratios of 0. In evolutionary theory of human mate preferences, WHR was suggested to have evolved. These areas are generally moist. arthro. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. , hemangiomas. 5cm · >5mm diameter · Not midline in location · Base not visible (Schenk, 2006) Return to Referral and Diagnosis Return to Surgery and Follow-up Simple Sacral Intragluteal Dimple Dimple within a symmetric gluteal crease AND less than 5 m i nd a etrWITH h sc u abno m l it es A soc ia t.