Some consider the term spina bifida occulta. 005–0. Symptoms. gluteal: [ gloo´te-al ] pertaining to the buttocks; called also natal and pygal. Gluteal Fold Flap . In type I, there is a major degree of vertebral abnormalities, and. A 4-mm punch biopsy of the gluteal cleft was. 5–0. The 2024 edition of ICD-10-CM L89. It advances posteriorly to pierce the pelvic fascia between the lumbosacral trunk and the first sacral nerve root (S1). Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. gov or . The lesions appeared to spare the central crease and were tender. gallstones, kidney stones, liver disease, diseases of the female reproductive, and. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. This is the American ICD-10-CM version of L02. The most common neural tube defects include anencephaly, which affects brain and skull development and is incompatible with. a patch of hair by the dimple. Some other conditions are similar to deep gluteal syndrome, part of it, or have many of the same symptoms. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). findings (hypertrichosis, haemangioma, caudal appendage, deviated gluteal fold, discharging sinus, etc) > 5mm in diameter, situated above the natal cleft or > 25mm from anus. 1 An occult spinal dysraphism (OSD) is covered by normal or near-normal skin, usually delaying diagnosis of OSDs compared with the more obvious open spinal defects. A posterior view of the deep gluteal muscles, with a resected gluteus medius, and intact gluteus minimus and deep gluteal muscles. 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. These 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). We present a case of a 61-year-old male patient with a large, growing. 95. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. It goes laterally up to a virtual line converging the anterior superior iliac spine to the anterior edge of higher trochanter and Medially goes up to mid-dorsal line and natal cleft. 2009; 155(6): 864– 869; doi: 10. The aim of this article was to summarize results of the consensus sessions that occurred at the Wound Ostomy Continence Nurses' Society National conferences in 2011 and 2012, and to highlight. 819A became effective on October 1, 2023. On the other hand, "sacral dimples" are higher on the lower back, usually on both sides (not in the middle). Psoriasis is a common scaly skin condition resulting in red scaly and thickened patches of skin. 2-7. Sacrum, coccyx. report on a post-surgical case of gluteal compartment syndrome in which the gluteus was tight, not painful and compartment pressures were elevated. It usually appears white or yellowish in color. If too much fat it can be repaired by liposuction and fat transfer to the gluteal dimple. J Pediatr. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. Results. The DDH Diagnosis Pathway was approved by the Medical Advisory Board of the International Hip Dysplasia Institute in December 2015 after being developed and implemented by the St. defined the infragluteal fold as a result of gluteal ptosis secondary to sagging of the buttocks and redundant gluteal tissue [ 9 ]. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. Fig. -Pelvic abscess extending intobuttock inpostoperative patient. Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. But first, it is important to understand the difference. There is no skin. ” It affects an estimated 26 per 100,000 persons, 1 occurring primarily in young adults with a 3:1 male predilection. The superior and inferior gluteal veins that drain into the internal iliac system are large-caliber vessels that can be 4 mm or more as. Nerve entrapment in the deep gluteal space. Other symptoms like redness, swelling, and pain will also be major clues in the diagnosis. However, not all skin breakdown in this area is related to increased pressure on the skin. x. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a. . Conclusions: The prevalence of IAD fell within the range of prior epidemiologic studies, but the facility-acquired IAD incidence rates were higher than other studies based in the acute care setting. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. Action. How to say gluteal. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. It is decorated from the upper side with rhinestones and colorful studs. 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. • AnusIntroduction. It extends from just below the sacrum to the perineum and ends superior to the anus. According to studies, gluteus maximus is twice as heavy as the gluteus medius muscle and 27% heavier than the. 317 may differ. People may experience: Pain – severe pain near intramuscular soft tissue in the gluteal region. Clinical Presentation. Tinea is another name for ringworm, and cruris means groin. The natal cleft is the ‘valley’ between the buttocks overlying the ‘tail bone’ of the spine and the buttock cleft is the corresponding ‘valley’ between the fleshy parts of the buttocks. Unspecified open wound of right buttock, initial encounter. This region contains structures that support the urogenital and gastrointestinal systems – and it therefore plays an. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. The gluteal cleft refers to the separation of the buttocks. This debilitating disease was first described by Fernandez de Valderrama in 1969 [ 1 ]. Daniel Saurborn: CT scan sufficient: MRI scans can be quite expensive. A pilonidal cyst is a cyst or abscess (boil) located near the intergluteal cleft, otherwise known as the groove between the buttocks. 3%] of 70; p = 0. A coccygeal pit was. Senile gluteal dermatosis (SGD) is a common but seldom recognized condition. fold [fōld] plica; a thin margin curved back on itself, or doubling. 4 When a large amount of tissue is removed, as in traditional pilonidal surgery, and the incision is closed in the midline, the cleft remains deep, a dead space is often created, and this leads to recurrent infection or unhealed wounds. Elderly people may develop typical skin lesions on the superior part and both sides of the anal cleft. Bockhart's impetigo. The _______ and ___________ are considered part of both the pelvis and the vertebral column. Doctor. 1 Global variations in incidence have been reported, ranging from 0. gluteal cleft synonyms: gluteal. VII. Daniel Saurborn: CT scan sufficient: MRI scans can be quite expensive. 0b013e31828f1a2e. What innervates the cutaneous portion of the gluteal region? At the superior level, the superior cluneal nerves. pubic ramus. The condition, which has an annual. [email protected] flap procedures bring tissue into the midline to cover a defect, in contrast to the off-midline closures, which remove tissue in the midline to flatten the cleft. M: Intergluteal cleft. Stage 1- A non blanching red area, that does not go away. The patient has an unusual sacral crease and sacral dimple. This baby’s gluteal creases are uneven (note yellow lines). Most sacral dimples are harmless and don’t need treatment. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 4%] of 14; Cases 1, 4, and 14 [Table 1]) were somewhat more likely to have abnormal gluteal folds than those without FTF (3 [4. Acutely, a pilonidal cyst presents with tenderness, pain, and erythema at the top of the gluteal cleft. Gluteal Fold/Gluteal Cleft Women's Long Sleeve T-S. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Treatment of a gluteal injury depends upon the type of the trauma. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. Pilonidal disease is an infection under the skin in the gluteal cleft. 898 is a billable diagnosis code used to specify oth symptoms and signs involving the musculoskeletal system. L03. & L. The perineum is separated from the pelvic cavity superiorly by the pelvic floor. Covers gluteus medius. circular f's. 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. the gluteal cleft. Iliac crest. The intergluteal cleft (a. 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. 11,. The gluteal fold is the crease formed by the inferior aspect of the buttocks and the posterior upper thigh. The fat was injected with a 4 mm angled basket cannula attached to a power-assisted handpiece (Microaire Surgical. SGD also encompasses the recently proposed entity of prurigiform angiomatosis. A perineal branch passes medially to supply the skin of the scrotum or labia majora in the perineum. The distinctive anatomic and radiologic features are discussed. He explains that the pain has been there for months, but over the. Trapped moisture, which is usually due to sweating, causes the surfaces of your skin to stick together in your skin folds. A 35-year-old patient is pictured in 2B 6 months after combined bilateral pudendal and gluteal flap pelvic reconstruction. ICD-10-CM Diagnosis Code R19. They are not harmful to one’s health and do not necessitate. circular f's the permanent. Grouped as a benign epithelial tumour, lesions of porokeratosis may arise in isolation, as multiple lesions or in a particular distribution in some clinical variants. "the difference perianal and gluteal abscess. runs over the piriformis between the gluteus medius and minimus. 04%,. The gluteal cleft is an anatomical characteristic found in both males and females. The Gluteus medius and minimus work together as hip abductors and are vital to normal. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and overlying fat and is not formed by the lower border of the gluteus maximus muscle, which crosses the fold obliquely. Hyperkeratotic lichenified skin lesion of gluteal region. separated at the intergluteal cleft (ass. People may experience: Pain – severe pain near intramuscular soft tissue in the gluteal region. Incisions (4 mm) in the superior aspect of the natal gluteal cleft, posterior superior iliac crest centrally, and inferior gluteal cleft were used to approach the buttock from the cranial and caudal directions, respectively. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. 184 Posts Jan 31, 2010. In very mild cases, such as isolated. Learn more. Cute vs. 1 Given the low incidence rate of OSD at 0. 320 may differ. Psoriasis can also affect other genital tissue, including the penis, vulva. The gluteus maximus is the heaviest and largest muscle in the body according to its cross-sectional area, volume and thickness. If the base could not be seen, this would be called a coccygeal pit. info When clinicians can’t separate the gluteal cleft for skin integrity evaluation or cleansing and drying, skin breakdown may develop. Anatomy. The skin may look absolutely normal. MDC 09 Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast. 7% success rate. Guideline 6: First Find and Palpate the Target Muscle in the Easiest Place Possible, 107. refer to the butt crack at the gluteal cleft and the folds under the butt cheeks as the gluteal folds. The gluteal region includes the rounded, posterior buttocks and the laterally placed hip region. In association with other OSD associated congenital abnormalities like CEARMSPediatr Rev. The cleft lift is an excellent operation for pilonidal disease. Graphic 87078 Version 1. It is the most. Swelling – inflammation and swelling in the region. Clean the diaper area with mild soap and water. It is a rare type of skin tumor (0. (Case 1) had a hemangioma and deviated gluteal folds, and he also had FTF. ABSTRACT. Pilonidal sinus disease is a disease of the inter-gluteal region *, characterised by the formation of a sinus in the cleft of the buttocks. It also extends from the iliac crest superiorly to the gluteal fold inferiorly. BACKGROUND AND INCIDENCE. They have no associated abnormalities (hairs, skin markings, etc. , a bulky skin fold along the upper edge of the gluteal sulcus), and route 3, just along the gluteal sulcus. The groove between the buttocks that runs from just below the sacrum to the perineum. Superior and inferior gluteal arteries branch from internal iliac superior and inferior arteries to piriformis approximately 5 cm from medial edge of origin of gluteus maximus from. Ligaments of the pelvis that anchor the sacrum within the 2 hip bones (2) Sacrospinous ligament (SS) sacrotuberous ligament (ST) The sacrospinous ligaments extends between. Small amounts of pain that go away after a few days. Common sites of flexural psoriasis are: Armpits. The histology is reproducible on each occasion. 1 The classic findings,. Gluteal Fascia. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. Erythematous plaques in axillae - a report of two cases In its general usage, the term pilonidal cyst refers to an area located at the superior aspect of the gluteal cleft in the sacrococcygeal area as. 31 may differ. 1 Tensor fasciae latae. The gluteal cleft and the gluteal fold both occur normally in humans. Midline tender, erythematous swelling in the gluteal fold over Coccyx or Sacrum. Groin. 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. Sacral dimples are very common—they’re present in 2-4% of newborns overall! Almost all neurosurgical referrals for suspected OSD in children <1yo are for evaluation of a dimple. Re: Upper gluteal cleft (buttcrack) is bleeding. Continuous with fascia lata. This sacroiliac joint provides a stable. Is there a pleasing or sexy term for the gluteal fold, or gluteal sulcas? I’m not talking about the butt crack. The superior gluteal nerve arises from contributions from the L4- S1 nerve roots. Medially, an intergluteal cleft separates the two buttocks from each other, while laterally they are bounded by the hip regions. It is also known as the “butt crack” and “intergluteal cleft. kdmahnke13. Incontinence-associated dermatitis due to dual urinary and fecal incontinence affecting the perineal skin, gluteal cleft, both buttocks, and inner thighs. 2 Comments. Flexural psoriasis is sometimes called inverse psoriasis and describes psoriasis localised to the skin folds and genitals. The patient is able to sit, has full pelvic range of motion, and sexual intercourse. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. 5. 38,293 satisfied customers. k. Origin and course. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. The psoriasis butt of a joke. Anatomically it is part of the trunk. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. In those 3 routes, we noted the consistent morphology of the thick and long, first cutaneous branch of the IPA. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). buttocks 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. Z79. A pressure injury develops as a result of unrelieved pressure between the sacral bone and the sitting or lying surface. For incision and drainage (I&D) of superficial abscess at any location, turn to 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle or paronychia); simple or single or 10061. Other names are the anal cleft, crena analis, crena interglutealis, and rima ani. 50 In another patient with psoriatic lesions involving groin, gluteal cleft, shaft and glans penis, as well as other body. from publication: Importance of Physical Examination and Imaging in the Detection of Tethered Cord Syndrome | Tethered cord syndrome (TCS) is. A dorsal view of die same infant shows the asymmetric gluteal folds and odier skin folds. The groove between the buttocks that runs from just below the sacrum to the perineum. Some evidence has shown that. This is not noticed when your child has on clothing. The gluteal region is located at the back of the body, representing the transition point between the trunk and the lower limbs. Buttocks: Plaque or inverse psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks or gluteal cleft. They have no associated abnormalities (hairs, skin markings, etc. 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. The first one, MTP1, is adjacent to the sacrum and pain is referred to the sacroiliac joint, the area beside the gluteal cleft, along the gluteal fold, and, occasionally, the posterior aspect of the thigh. It exits the pelvis via the greater sciatic foramen above the piriformis and immediately divides. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. Other findings include flattened buttocks, narrow hips, short intergluteal cleft, neurogenic bladder, and sphincter dysfunction. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. The inferior extent of the buttock is marked by a gluteal fold of skin below. The sites are usually very localized as in your case where symptoms are limited to the side of gluteal cleft. 96. 78,579. Initiating factors include moisture and friction associated with an absence of air circulation in deep skin folds. areas, buttocks, gluteal fold, thighs, lower back, lower abdomen and skin folds (groin, under large abdominal apron, etc. Some people have a higher or a lower one. thanks" Answered by Dr. Six patients had an abnormal gluteal fold. e. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. It’s important not to. The cleft and peri-anal skin is intact. Intertrigo is a common inflammatory skin condition that is caused by skin-to-skin friction (rubbing) that is intensified by heat and moisture. 10 for a 60/gm tube. "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. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. Low-risk skin stigmata in infants: the role of ultrasound screening. It extends from the upper iliac crests to the lower gluteal fold of the skin. Synonyms [edit] anal cleft; gluteal sulcus; intergluteal cleft; butt crack (vulgar) See also Thesaurus:gluteal cleft; Translations [edit]A gluteal fold in and of itself is the area where the buttocks are separated from the upper thigh. Neural tube defects are a spectrum of disorders that can affect the brain or the spinal cord. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. Before sharing sensitive information, make sure you're on a federal. A pilonidal cyst is an infected hair follicle that occurs at the top of the buttocks. 2 The usefulness of the gluteal fold flap for perineal reconstruction,. The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. They are caused by interaction of genetic and environmental factors, and are prevented with folate supplementation. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care. It is characterized clinically by unilateral or bilateral hyperkeratotic, lichenified plaques on the gluteal area, being attributed to prolonged sitting, particularly in the elderly. The inferior gluteal artery originates as a branch of the anterior division of the internal iliac artery. with. Gluteus Maximus. not so much: Pilonidal "dimples" are properly called "pits", are always in the midline in the gluteal cleft, and are where infection of the pilonidal cyst starts, as dislodged hairs can work themselves into these. Posterior cutaneous nerve of the thigh. Everyone has a gluteal fold. Once developed, the subcutaneous flap is placed into the perineal defect and the deepithelialised dermis is fixed to the contralateral pelvic floor remnant with Vicryl 2. ) for: Clinical Excellence Commission 14. 1, 7 In many Asian countries, ASM is considered to be an important suggestive finding, and health. It emerges from the lateral border of the psoas major muscle and courses inferolaterally to enter the iliac fossa. The moisture increases the friction, which. What is a 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. A comprehensive history and physical examination can orientate the specific site where the. Guideline 3: Choose the Best Action of the Target Muscle to Make it Contract, 105. 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. Gluteal Region is the back and side of lateral half of pelvic region. The primary problem is itching and any skin rash, redness or excoriation is secondary to the scratching. 8%. Answer: Gluteal cleft. 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. ANSWER: SACRAL DIMPLE. Encloses gluteus maximus and tensor fascia lata. The gluteal muscles are the most superficial group of the posterior hip and thigh muscles. This pain is caused by the muscles, skin, and blood vessels in your buttocks pressing on nerves. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. The other synonyms of gluteal cleft are anal. Coding Abscess Procedures. Anterior surface of greater trochanter of femur. Symptoms can range from mild to severe, depending on the level of infection. 5cms from anal verge o Vascular lesion e. Lateral femoral circumflex a. People who are overweight and who have thick, stiff body hair are more likely to develop pilonidal disease. The only relief I've had is by using Lanacane powder which dries things up and stops the itch. 96. An odor from draining pus. The rounded shape of the buttock is due to the gluteus maximus muscle. A pilonidal cyst typically is diagnosed. A pilonidal cyst may not cause symptoms. Structure. Symptoms. Several structures can be involved in sciatic nerve entrapment within the gluteal space. The most widely accepted theory for pilonidal sinus disease development begins with a hair follicle in the intergluteal cleft becoming infected. Known risk factors include family history, local trauma, sedentary occupation, and obesity. The term 'granuloma' is a misnomer, as the. • Sepsis 2/2 L gluteal abscess • IR was consulted to drain both masses • Aspirated 70 cc of pus from the gluteal fluid collection • Unable to aspirate the pelvic mass as there were some solid components • Recommended a biopsy of the mass • Pt’s fever, pain, and leukocytosis started improving after drainageThe lateral femoral cutaneous nerve, also referred to as the lateral cutaneous nerve of the thigh, is formed by fibers of the posterior divisions of the anterior/ventral rami of spinal nerves L2 and L3. e. The superior aspect of the buttock ends at the iliac crest, and the lower aspect is outlined by the horizontal gluteal crease. Under the breasts. Read about recovery time, diagnostic tests, and prevention. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Describe the difference between male and female pelvis. With an overall success rate of 96. Anus: Rashes at the anus can cause rectal bleeding and pain with passing stools. [1] Classically, this results in a "V-shaped" cleft in the hand with a variable degree of. Keep your arms straight as you lift the weight with your hips and glutes. 5 cm area of induration, fluctuance, erythema, and tenderness to the right buttock along the gluteal cleft. This system of hospitals provides healthcare services for a wide region of the Northwest United States including remote regions and. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. However, after one week of. The gluteal fold flap was first described as a variation of the lotus petal flaps by Yii and Niranjan in 1996. Pilonidal literally means a “nest of hair. This procedure detaches the skin of the gluteal cleft from the underlying subcutaneous tissue as a flap. ; Groin and thigh fold: At the folds between the thighs and. Do not use toilet paper when done, instead use water and do not rub the area roughly. Pilonidal Cyst. The codes are scattered throughout the musculoskeletal system subsection, with listings under each anatomical excision subsection. They have no associated abnormalities (hairs, skin markings, etc. How to say gluteal. These lesions are also often mistakenly labeled stage 1 or stage 2 pressure ulcers/injuries. 1 Given the low incidence rate of OSD at 0. A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. Branchial cleft cysts are. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. Pilonidal Cyst. 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. Small amounts of pain that go away after a few days. Incisions (4 mm) in the superior aspect of the natal gluteal cleft, posterior superior iliac crest centrally, and inferior gluteal cleft were used to approach the buttock from the cranial and caudal directions, respectively. Belly button (navel). 2009. Colloquially the intergluteal cleft is known as bum crac…When clinicians can’t separate the gluteal cleft for skin integrity evaluation or cleansing and drying, skin breakdown may develop. • Perineum. 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. Bound to skin below gluteus maximus to produce the gluteal fold. 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A the right of the gluteal cleft. Pilonidal disease, especially when infected, can be confused with other conditions, which are discussed in. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. The gluteus maximus muscle is a broad, thick, quadrangular muscle that forms the prominence of the buttocks. A 71-year-old woman with no relevant medical history presented with recurrent painful erosions on the gingivae and gluteal cleft of 1 year’s duration.