Posted 18/3/18. If mostly adipose tissue (fat), you can have Zeltiq Coolsculpting to freeze the fat. Anonymous. Answer: Contouring the gluteal crease with liposuction. [1] Gluteal muscle tears are common injuries, and the gluteus. Indications. 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. ICD-10-CM Diagnosis Code M76. The Gluteus medius and minimus work together as hip abductors and are vital to normal. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment. Original poster's comments (5) 3. I guess my point is I should have asked more questions about how long we could wait and what the possibility was that the MRI would be inconclusive. 96 per 10 000 athlete-exposures among high-risk collegiate athletes and most categorized as lateral ligament injuries. Can stags around the buttocks get itchy? Skin tags normally appear where the skin creases or areas of the skin folds such as the anus, groins, armpit and neck. If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. Longitudinal sonogram shows hyperechoic filum of normal size (< 1 mm) ( arrow ) at L5-S1. Cutaneous hemangiomas are the most frequent benign tumors in children. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. Surgical technique. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. The buttocks are two parts of the body. However, the relationship between congenital spinal cord. The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. 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). Finally, the “V” shape buttock is often seen in the massive weight loss patient or in patients who have an atrophic buttock with excess fat adiposity in the “love handle” area . 4 may differ. 2-7. Handler Download MyChart to connect with your care team. Although gluteal lift as part of the. A simple dimple is one that is located within 2. The remaining 2 infants had 2 deep dimples within the gluteal crease. It overlies two additional gluteal. 8 became effective on October 1, 2023. 58 when compared with the buttock ratio of 0. Cindy Williams answered. It affects about 70,000 people in the US annually and is more common in men than women. 4. Cramer, in Clinical Anatomy of the Spine, Spinal Cord, and Ans (Third Edition), 2014 Gluteus Maximus Muscle. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. Female and Male buttocks. Another remarkable finding is the inferior oblique gluteal crease that is most prominently seen in the “square” buttock . Corbett Wilkinson, Michael H. Although the safety of gluteal augmentation with autologous fat grafting is still controversial, the proportion of operations is increasing year by year. It can form in the crease between the buttocks and the skin around the anus and may appear inflamed, smooth, or scaly. He has a y shaped gluteal cleft right above his bottom! Of course I am…Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Open the PDF for in another window Topics: congenital. Sacral Dimple. Most sacral dimples are harmless and don't need treatment. View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Open the PDF for in another window Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch , skin manifestations Apr 24, 2016 at 7:40 PM. 9 The role of fat grafting in buttock augmentation is to augment and shape the buttocks in a way that cannot be accomplished with silicone implants,. Accuracy of abnormal neurologic examination findings. So today was my 1 month check-up and everything was great but the peds noticed that there’s a Y/V shape crease on DD’s butt. Pilonidal cysts occur in the “gluteal crease” (butt crease) and develop because of the shape of that crease. does any of your baby have this? I will call our family doctor to have it assessed. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Everyone has a gluteal fold. Ankle sprains are prevalent musculoskeletal injuries, with an injury rate of up to 11. The gluteal cleft most of the time heals on its own but if not, then a proper treatment along with a pain reliever is recommended. Sciatic Nerve. The World Health Organization classifies most soft tissue neoplasms according to the tissue of origin. Tehrani. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 8 - other international versions of ICD-10 Q82. However, the vertebral defects may occur in association with other more severe anomalies of the spinal cord and sacral structures, such as split spinal cord malformation or various cavitary defects of the spinal cord. 4 - other international versions of ICD-10 L30. It is the most common site of intra. Gluteal cleft Shield Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. This is the American ICD-10-CM version of L30. The inferior gluteal line, is the least distinct of the three gluteal lines, begins in front at the notch on the anterior border. g. Figure 3: the waist-to-hip ratio in posterior and lateral views. In fact, an inflamed hair follicle ( folliculitis ) is the most common cause of red, inflamed pimples on your butt. 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 waist-to-hip ratio (WHR) is an anthropometric measure of body shape. Thanks to your g. Hi moms! I am a FTM with 2 week old. Indications. It has four borders - superior, anterior, posterior and medial borders; and three surfaces - gluteal, iliac fossa and sacropelvic. The gluteus maximus is the largest and most superficial of the three gluteal muscles. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Monday she will see a neuro sergion for a physical exam. Definition. kdmahnke13. However, imaging. The intergluteal cleft (a. The 2024 edition of ICD-10-CM Q82. In this technique, the medial thigh lift is extended posteriorly into the infra-gluteal crease; the advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Origin. Included in. It. Whiteheads are caused by hair follicles becoming clogged with oil & dead skin cells. Y-shaped crease and were. Asymmetric forked gluteal cleft is a condition in which the two sides of the buttocks form a V-shape, rather than a U-shape. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. It is very normal for babies to have these deep creases at the top of their bottom/bottom of their back. 8% had deviated or duplicated gluteal creases, 15. This is the American ICD-10-CM version of Q82. The V crease is formed by two lines arising in the proximal portion of the gluteal crease. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. Four different anatomic variables:1. Make sure to compare both sides as basically everyone will report pain if you. 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). 5 hours longer or approximately 2-fold compared with that of Group B. 3 The short infragluteal fold, supragluteal fossettes and sacral triangle are generally universally accepted, whereas mild lateral. 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. Posted 18-03-16. They are localized just above the gluteal furrow and usually not associated with underlying dysraphism. L30. Subscribe Now:More:exercise to define the gluteal f. [99,100] described it as: 1. 12. There is paucity in the literature regarding the role of the elastic fibers component in skin crease formation. 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. The piriformis is a pear-shaped muscle in the buttocks that extends from the base of the spine to the top of the thigh. 8. From the syringe, the fat grafting is slowly performed through a 6-mm tube and a custom. Overlying these muscles is subcutaneous fat tissue. 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 rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. However today I was out for lunch with MIL and she started telling me about her sister who lost a child to severe spina bifida. Applicable To. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. 4% (n = 15); all but 2 infants had 2 shallow depressions within the gluteal crease. 06. Also, I see in your conditions that you have anger and anxiety . Buttocks are formed mainly from two large muscles on each side. The vertical line starts from sacrum to the perineum. These cysts can contain hair, skin fragments, and other tissue. They may be associated with a tuft of hair. This is what my doctor said about our DD: "It is an abnormal gluteal cleft, or Y shaped gluteal cleft, and it suggests we check for a tethered spinal cord. Follow your baby's amazing development. 9 - other international versions of ICD-10 L98. A sacral dimple (also termed pilonidal dimple or spinal dimple) is a small depression in the skin, located just above the buttocks. The patient tolerated this procedure well and. arthro. c. Gluteal Region is the back and side of lateral half of pelvic region. A. They are the second most common congenital disability after congenital heart defects [ 1 ]. , Ersek) have attempted to hide incisions in the medial gluteal crease. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT:. Have any other moms on here. The superior gluteal artery transports blood from the heart to the glutes. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting. He had severe inflammation with multiple crypts and abscesses around the anus. When a sarcoma is deep-seated, growing quickly, and located near sensitive areas like the sciatic nerve, it may be painful. 003Researchers from Tel Aviv performed a prospective observational study to assess whether infants with low-risk lumbar midline skin stigmata (MSS) should undergo ultrasound (US) to detect tethering of the spinal. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Centeran S‑shaped gluteal crease since age 2 weeks. Background The buttock is the second sex feature of the human body, and the graceful buttock curve gives people confidence. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Skin ulcers cause a crater-like depression in the skin, which may weep clear fluid (called serous ), blood, or, when infected, pus. Follow your baby's amazing development. If a sacral dimple is paired with other symptoms such as bruising, tufts of hair or skin tags, it could be a sign of a spinal condition. The bony component of the gluteal (buttocks) region consists of two pelvic bones (os coxae) joined anteriorly by the symphy-sis pubis and posteriorly by the sacrum. 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. Dancing and. He did great & slept through the whole thing. In evolutionary theory of human mate preferences, WHR was suggested to have evolved. The vertical line starts from sacrum to the perineum. 2) . They can also arouse human sexuality. Pilonidal cysts are common in young men. 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). Purpose To provid a comprehensive and detailed review of the. 8 Gluteal fold (crease between buttocks) 9 Left upper buttock 10 Right upper buttock 11 Left lower buttock 12 Right lower buttock 13 Left posterior thigh. Patients may seek to enhance buttock shape with buttock implants, autologous fat transfer, autologous tissue flaps, excisional procedures, or liposuction. Surgical technique. 4). ’s warm, “moist” environment, a bouquet of biota feels right at home. It results from a narrow waistline, decent gluteal development, and even fat distribution on the buttocks. A V-shaped proximal gluteal crease was accentuated by. Look for red flags. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. These are the structures that create the creases of our body. Figure 2: Contents of the greater and lesser sciatic foramina. Cranial defects include anencephaly, exencephaly, and encephalocele. Two mild lateral depressions that correspond to the femoral greater trochanter. Nine patients had 2 LsCMs suggestive of OSD; specifically, gluteal asymmetry and a coccygeal pit (2 infants); lumbar hair and coc-ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. Answer: Gluteal fold can definitely be created. I noticed it in hospital I thought it was a crease from being sat funny in me but it didnt go away me and my husband had both noticed it feeling boney so I googled it to find its a marker for spina bifida occulta or tethered spinal cord , I went to get him checked with the midwife she said it was a. its like an actual dimple (looks like a small hole) in the skin. Ultrasound is valuable for imaging of infants and young children and for. track my baby. OSD as part of cutaneous stigmata identification, up to 8% had asymmetric gluteal cleft deviation and 7% presented with Y-shaped gluteal cleft, 45. Length: 7. 6% had dimples, and 24. The gluteal fold flap was first described as a variation of the lotus petal flaps by Yii and Niranjan in 1996. 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. 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). ICD-10-CM Diagnosis Code S31. Download scientific diagram | A: Intraoperative photograph of thickened filum terminale or lipoma of filum terminale prior to sectioning. Neurosurg Focus Video. The base of the triangle attaches to the sacrum (tailbone), while the opposite end attaches to the side of the femur (upper thighbone). Feature Agreement Comment; Neurocutaneous: 1/1 (100%) Café au lait lesion not appreciated via telemedicine but appreciated in-person. A buttock lift improves the tone of the underlying tissue in the buttocks. Stence, Todd C. 38. This is the American ICD-10-CM version of L98. The patient has an unusual sacral crease and sacral dimple. There have been no large prospective studies of isolated gluteal cleft abnormalities. It is critical for one to understand the variations across ethnicities in defining gluteal esthetics. A lump of the lower back. 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 gluteus minimus is fan-shaped and is attached distally to the femur at the anterior border of the greater trochanter. Bakkum, Gregory D. It's like it is a little. You have hair follicles over nearly all areas of your skin, including on your butt. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 0. Posterior view and B. "Genital herpes" refers to herpes that affects the anus, scrotum, vagina, penis, vulva, cervix, buttocks, and inner thighs. With this technique, the deepithelialized crescent-like zone in lateral thigh redundancy anchored to gluteal fascia through three separate incisions as used for creation of a new gluteal crease. March 2017 At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. Figure 3: Superficial muscles of the gluteal region and posterior thigh. Your feet should be 12–16 inches (30–40 cm) from your butt. 3. Posterior view and B. The donor site is well tolerated and scars have been hidden within the gluteal crease. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. A pilonidal cyst is a small sac that sticks up from inside the skin. Europe PMC is an archive of life sciences journal literature. The inferior-medial compartment is encased by the ischiocutaneous ligament and is triangular in shape. Isolated midline dimple was the most common. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. By this I mean, at the top of his bum crease, it veers to the right. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. Y-shaped gluteal crease: 1/1 (100%) Total: 81/87 (93%) Open in a separate window. Deep dim-ples were noted in 1. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. He introduced the notion of “Gluteal Suspension System”. The best way to get rid of that excess flab under your butt is to implement HIIT workouts with the right kinds of cardio. Feature Agreement Comment; Neurocutaneous: 1/1 (100%) Café au lait lesion not appreciated via telemedicine but appreciated in-person. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. c. 4. My son, 18 weeks (born 2 weeks early), has a crooked bum. Stumbling or changes in gait or walking. 5–0. Overall skin is red and even where intact surrounding the skin fold . 870); Bite of buttock NOS. The main goal of the Brazilian butt lift, also known as gluteal fat grafting to professionals, is to enhance your buttocks and its shape,. Vascular SupplyThe most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. diseases of the male reproductive organs. This baby’s gluteal. Arthroscopy2021 Feb;37 (2):435-437. The superior gluteal nerve is responsible for innervation of the gluteus medius, gluteus minimus, and tensor fasciae latae muscles. 8. This line is not always distinct in every person. Medially, an intergluteal cleft separates the two buttocks from each other, while laterally they are bounded by the hip regions. delayed muscle soreness after exercising. 3 is between the ideal range for a safe and successful BBL surgery. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. The 2024 edition of ICD-10-CM L30. 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. Figure 1: components of beautiful buttock. Answer: Sacaral dimple. 8. Read below for more causes and how to treat butt boils and bumps. B: After sectioning the. 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. 5cms from anal verge o Vascular lesion e. Purpose To provid a comprehensive and detailed review of the. He seems completely healthy otherwise. k. Now I’m freaking myself out because everything you see on google says tethered spinal cord. The MyChart Patient Portal is an online tool that provides medical information about care provided at Johns Hopkins All Children’s and connects you to your health care team. its likely nothing to worry about, but you can always ask your dr for an ultrasound to be sure. 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. the posterior border contains the inferior portion of the greater sciatic notch and the lesser sciatic notch, which are. He introduced the notion of “Gluteal Suspension System”. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. #1. Pitanguy's 33 early attempts to camouflage incisions within the gluteal crease at the time of direct excision resulted in a distorted transition between gluteal mound and upper posterior thigh. I dont often suggest. The superior-lateral compartment is bounded anteriorly by the iliotibial tract, cranially by the iliac crest. (the top of the crease between her. Youssef, Seth W. 29: Hypospadias: Coccygeal pit: CM ends at L2-3: N/A: No clinical TCS; PT: Male. Take the stairs rather than the elevator. 1 An occult spinal dysraphism (OSD) is covered by normal or near-normal skin, usually delaying diagnosis. It extends from. (B) In setting of the split gluteus maximus muscle flap and IGAP flap. Isolated midline dimple was the most common indication for imaging. The long elliptical shape of the flap allows coning of the tissue to form a more natural breast shape. There is no dimple though and she. ” Example of wording for Severe IAD: “After assisted to a semi-prone position for exam, areas of epidermal denudement are noted on. Morbidity associated with primary perineal closure due to wound break down delays recovery from surgery and adjuvant treatment with poor oncological outcome at the end. A. 15 result found: ICD-10-CM Diagnosis Code M76. Lagertha1. The Q82. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. A short infragluteal fold lying in the horizontal crease under the ischial tuberosity, which does not extend beyond the medial two-thirds of the posterior thigh. The gluteus maximus muscle is the most superficial muscle in the gluteal region (see Fig. It's like it is a little. A lump of the lower back. The buttock refers to the rounded bulge in the lower part of the gluteal region. 4). l. 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. Inverse psoriasis, also known as flexural psoriasis, is a skin condition that may develop in the armpits, under breasts, on the groin, or in other skin folds. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 68, 0. Yes my son has that. Multiple dimples were encountered in 1. Figure 2: Contents of the greater and lesser sciatic foramina. 3 In case you were looking for something else. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. J Cutan Pathol. Y-shaped creases. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. Pediatr Rev. : Sacrococcygeal dimples in the gluteal fold, also known as coccygeal pits, are observed in 2%-4% of. Applicable To. If you have more questions, or you would like to schedule a consultation with Dr. 8 cases per 1000 live births. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. Isolated midline dimple was the most common. 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. 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. 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? A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. swelling in the area. At this stage, it is best to be evaluated by a plastic surgeon. The gluteus maximus has two insertion points: 1 ⁄ 3 superior. Like the square butt, fat distribution, hip bone shape, and muscle development determine the shape. 5–0. They are formed by two lines arising in the proximal portion of the gluteal crease and are directed toward the supragluteal fossettes. 1%) underwent plastic reconstructive surgery with V-Y advancement flaps. The infragluteal crease 1 appears in literature as several terms such as “gluteal crease,” “infragluteal fold,” “infragluteal sulcus,” 19 “horizontal gluteal fold,” “gluteal fold,” “inferior buttock crease,” “lower gluteal crease,” and “inferior gluteal crease. The two best cardio workouts you can do are hill sprints and stair climbers. Q82. The meaning of GLUTEAL is of or relating to the gluteus muscles. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. ". It will go away as baby gets older. It can form in the crease between the buttocks and the skin around the anus and may appear inflamed, smooth, or scaly. 4. a 1. I almost thought they just made that up! A few dimples were located in the upper portion of a deviated or Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. A V-shaped crease (sacral triangle), which arises from the proximal end of the gluteal crease and extends toward the sacral fossettes. ” 1,2. Y Shaped Gluteal Crease? jomarma member. They are not harmful to one’s health and do not necessitate. She explained that it needs to be watched over the. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. Hi ladies i just wondered if you could help me. This topic will review the clinical manifestations, diagnosis, and management of closed spinal dysraphism. Figure 3: Superficial muscles of the gluteal region and posterior thigh. 8. 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. 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.