The gluteal fold is formed by the fibrous attachment of the gluteal skin to the deep fascia, while the. Firmness. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. The gluteal muscles are the most superficial group of the posterior hip and thigh muscles. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. It can form in the crease between the buttocks and the skin around the anus and may appear inflamed, smooth, or scaly. kdmahnke13. Cindy Williams answered. 4. Figure 1: Ligaments of the gluteal region. 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. You can also control the behavior of each side or. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. In this case, the crease usually is limited to a discreet fold between the mid portion of the. 1016/j. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. J Cutan Pathol. The gluteal cleft refers to the separation of the buttocks. 1 Given the increasing aesthetic expectations and demands regarding the shape, structure, and location of the implant, many surgical methods have. The superior aspect of the buttock ends at the iliac crest, and the lower aspect is outlined by the horizontal gluteal crease. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting. The posterior scar lies at the top of the gluteal crease to preserve the buttocks aesthetic unit, allow for autoaugmentation, and minimize wound-healing complications. 8. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The buttock refers to the rounded bulge in the lower part of the gluteal region. A sacral dimple. If you’re using a dumbbell, hold this across your hip crease. Doctoral Degree. g. Loose hairs that fall off the body can become caught in those. The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. The 2024 edition of ICD-10-CM Q82. doi: 10. It affects about 70,000 people in the US annually and is more common in men than women. The gluteal cleft is an anatomical characteristic found in both males and females. 4 may differ. 1. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. The overall preferred ratio was 0. Deep dimples were noted in 1. Herron A. Infant is a product of an uncomplicated pregnancy and delivery. Isolated midline dimple was the most common. This is the American ICD-10-CM version of Q82. 4. swelling in the area. Indications. Multiple dimples were encoun-tered in 1. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. skin tags. 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. Search life-sciences literature (42,218,935 articles, preprints and more) Search. 8% had deviated or duplicated gluteal creases, 15. 20-Minute Workout for Lower Glutes and a Better Under-Butt. 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. ". Deep dim-ples were noted in 1. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Follow your baby's amazing development. 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). Results: All profunda artery perforator flaps have been successful. 5 cm from the anus. Go hiking. Now I’m freaking myself out because everything you see on google says tethered spinal cord. These creases were observed in 45% of the analyzed photographs. Top Symptoms: small facial lump, yellow or white facial bump. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. 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. Leopold N. "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. S31. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Muscle. . Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). There, they scarf down your sweat, and in the process generate what scientists call “butt funk. A V-shaped crease (sacral triangle), which arises from the proximal end of the gluteal crease and extends toward the sacral fossettes. Gluteal crease! The top part of your butt crack! A great place to live, if you’re bacteria. A lump of the lower back. 1016/j. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. The V-shaped crease, or the lower half of the Rhombus of Michaelis which is named after nineteenth century obstetrician Gustav Adolf Michaelis (by which the size of pelvis, thus risks of labour is estimated), is formed by two lines arising in the proximal portion of the gluteal crease directed toward the supragluteal fossettes (Fig. 4). 12. A normal gluteal fold should look like two small curves that lie underneath the butt and follow the shape. "Genital herpes" refers to herpes that affects the anus, scrotum, vagina, penis, vulva, cervix, buttocks, and inner thighs. The meaning of GLUTEAL is of or relating to the gluteus muscles. Acral localized acquired cutis laxa as presenting sign of underlying systemic amyloidosis. Pilonidal cysts are common in young men. Hankinson, C. The nerve exits the pelvis through the greater sciatic foramen. The waist-to-hip ratio (WHR) is an anthropometric measure of body shape. 2021 Oct; 42 (10):e41-e44 View PubMed; Ahn ES, Bhandarkar AR. OBJECTIVE. 5%. read more. The hip joint is the most stable joint in the body and is supported by a very strong capsule and several. It’s above the crease in the buttocks. Figure 4: degrees of ptosis (A) Degree zero: the crease can reach T-line but not. Y Shaped Bottom Cleft. (the top of the crease between her. It is also called butt crack or ass crack. If you have a hill anywhere near where you live then you can simply run up it as fast as you can. 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. Candidal diaper dermatitis involves clinically significant infection with Candida albicans and presen. 06. 13. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. Figure 3: Superficial muscles of the gluteal region and posterior thigh. [99,100] described it as: 1. defined the infragluteal fold as a result of gluteal ptosis secondary to sagging of the buttocks and redundant gluteal tissue [ 9 ]. 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. Hill walking, running and sprinting. The distinctive anatomic and radiologic features are discussed. 2-7. 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). Definition. Fig. Request PDF | Intraspinal lesions associated with sacrococcygeal dimples | Unlabelled: OBJECT. OBJECTIVE Cutaneous stigmata or congenital anomalies often prompt screening for occult spinal dysraphism (OSD) in asymptomatic infants. The infra-gluteal crease is the distinct crease line, separating the buttocks from the thighs. Isolated midline dimple was the most common. Multiple dimples were encountered in 1. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. The Gluteus medius and minimus work together as hip abductors and are vital to normal locomotion. 6 became effective on October 1, 2023. Warts are flat in shape and slightly raised. Fig. 04%, they are likely too common to be considered high risk. Y-shaped creases could be quite distinct with long upper creases or barely visible with short upper creases. These ideals include (1) lateral depression of the buttocks, (2) supragluteal fossettes, (3) a V-shaped gluteal crease (“sacral triangle”), and (4) the infragluteal fold [2–4]. 2. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. The horizontal gluteal crease defines the lower portions of the. At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. Download the BabyCentre app Opens a new window. Herewith, we present our experience with V-Y gluteal advancement. Use super vision! Ultrasound can visualize the underlying structures in children less than 3 months of age. Doctoral Degree. The superior tip of the intergluteal. In anchor thighplasty, the anchor has 3 limbs or hooks: Two represent the buttock creases and the third extends between the inner thighs. A true sacral dimple is more than just a y shaped butt crack. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. By this I mean, at the top of his bum crease, it veers to the right. A V-shaped incision over the right or left gluteal region was performed, after which the subcutaneous fat and gluteal fascia was divided. Y-shaped crease and were. Gluteal tendinitis; Gluteal tendonitis. Our technique allows for the. buttocks in shape have received much media attention in recent years, which has produced increased patient demand for buttock reshaping. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. 5%. V-shaped crease. They are formed by two lines arising in the proximal portion of the gluteal crease and are directed toward the supragluteal fossettes. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Cutaneous hemangiomas are the most frequent benign tumors in children. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. Posterior view and B. If mostly adipose tissue (fat), you can have Zeltiq Coolsculpting to freeze the fat. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. 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%),. Isolated midline dimple was the most common indication for imaging. Most sacral dimples are harmless and don't need treatment. Vascular cutaneous changes over the mass are visible. We would like to show you a description here but the site won’t allow us. 3 In case you were looking for something else. However, imaging. Included in these groups were several variations. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. Now I’m freaking myself out because everything you see on google says tethered spinal cord. A. This anatomy is well depicted at imaging, and management is often dictated by what structures are involved. Of 1096 infants included in the study, 24. The movement of the flaps and the scar outline preserve the major esthetic relationship of the mound to the. Gluteus medius is a fan-shaped muscle with its posterior third lying deep to the gluteus maximus. Q82. What causes a y-shaped crease at the top of newborns bum crease? i don't see a dimple. 8 It is bordered cranially by the middle-medial compartment, and caudally by the gluteal crease and the gluteal cleft adhesion. The inferior extent of the buttock is marked by a gluteal fold of skin below. It is critical for one to understand the variations across ethnicities in defining gluteal esthetics. Y-shaped creases. It overlies two additional gluteal. 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. When a sarcoma is deep-seated, growing quickly, and located near sensitive areas like the sciatic nerve, it may be painful. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. Position yourself on a seated hamstring curl machine. The 2024 edition of ICD-10-CM Q82. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT:. Note: (1) Multiple lesions and any neurological abnormalities warrant consultant review and discussion with neurosurgical colleagues prior to further. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Complete 10 to 15 reps. a. Vascular SupplyThe most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. 6 —Prominent filum terminale in 2-week-old boy with asymmetric gluteal crease. 58 when compared with the buttock ratio of 0. 12. I think that there is a very good chance, that your son would have no symptoms yet. Gluteus minimus is the smallest and deepest of the muscles, lying under the cover of the gluteus medius with their anterior. Also, I see in your conditions that you have anger and anxiety . Isolated midline dimple was the most common. Hankinson, C. 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. 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 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy. This is the American ICD-10-CM version of Q82. include a low anterior scar that gently slopes superior to help with waist accentuation and addressing lateral thigh contour. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. The other synonyms of gluteal cleft are anal. Figure 1: components of beautiful buttock. 3 The short infragluteal fold, supragluteal fossettes and sacral triangle are generally universally accepted, whereas mild lateral. Abnormal palmar reflex: 2/3 (67%)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. 6 may differ. The Gluteus medius and minimus work together as hip abductors and are vital to normal. Definition. age 3 months, a magnetic resonance imaging (MRI) L spine revealed a lumbar lipomyelomeningocele (2. When the clogged pore is closed to the air by a layer of skin cells, the oil/dead skin cells remains white (as opposed to a blackhead). The gluteus minimus is fan-shaped and is attached distally to the femur at the anterior border of the greater trochanter. Anonymous. HandlerDownload MyChart to connect with your care team. The iliac crest is the superior border of the ilium extending from the anterior superior iliac spine to the posterior superior iliac spine. Original poster's comments (5) 3. and symmetric (Y-shaped) splaying of the. V-shaped crease. Continue this incision through the popliteal fossa to the upper calf. They are localized just above the gluteal furrow and usually not associated with underlying dysraphism. 8. ICD-10-CM Diagnosis Code L89. B: After sectioning the. 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. Gallegos D. ". 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. There is no dimple though and she. Applicable To. 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. Try This: 9 Tips and Tricks to Get Rid. At this stage, it is best to be evaluated by a plastic surgeon. Overlying these muscles is subcutaneous fat tissue. Stence, Todd C. Origin. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. 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. People who are overweight and who have thick, stiff body hair are more likely to develop pilonidal. Arthroscopy2021 Feb;37 (2):435-437. 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. It makes up a large part of the shape and appearance of the hips. A simple dimple is one that is located within 2. 4. An ideal method of perineal closure after resection for low rectal cancer surgery is a topic of debate. subfascial gluteal augmentation: a silicone implant is placed in the subfascial space, under the gluteus maximus muscle; intramuscular buttock augmentation: a silicone implant is placed inside. 4. 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. They are not harmful to one’s health and do not necessitate. Is it risky to put on buttocks?Pediatrician. Definition. Purpose To provid a comprehensive and detailed review of the. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. y shaped butt crack. 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. Open neural tube defects are lesions in which brain, spinal. ” This crease does not reflect the lower margin of. Y shaped gluteal waiting for scan. Download scientific diagram | A: Intraoperative photograph of thickened filum terminale or lipoma of filum terminale prior to sectioning. Four different anatomic variables:1. The gluteal region is located at the back of the body, representing the transition point between the trunk and the lower limbs. The World Health Organization classifies most soft tissue neoplasms according to the tissue of origin. Most coccygeal dimples are located near the midline, within or just above the gluteal crease (within 2. 66 (P < 0. worried for my 7 weeks old son. Pediatr Rev. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. 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. Corbett Wilkinson, Michael H. Origin. Then an incision was made along the gluteal crease at the desired site for the final incision. Patients may seek to enhance buttock shape with buttock implants, autologous fat transfer, autologous tissue flaps, excisional procedures, or liposuction. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. He had severe inflammation with multiple crypts and abscesses around the anus. GreenSkin tags are usually raised, hand off the skin. They should measure no more than 1/3 the distance between the gluteal crease and the supragluteal fossettes. Four of the most recognizable characteristics of an esthetically pleasing gluteal region are: 1. 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. Jildeh. Case 1. Typical dimples are found at the skin on the lower back near the buttocks crease. delayed muscle soreness after exercising. The patient has an unusual sacral crease and sacral dimple. 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. Some people have a higher or a lower one. The Q82. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Psoriasis affecting the buttocks is a form of genital psoriasis. Fine tune the look for poses or animation, the choice is yours. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. (the top of the crease between her. 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. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. 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. 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. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. 2-7. Vascular loop is around the filum. The gluteus maximus muscle is innervated by the inferior gluteal nerve, which is a branch of the sacral plexus. Long-term follow-up is needed to evaluate for possible fat necrosis of the transferred. The inferior gluteal line follows a similar path but is shorter and less curved. Stumbling or changes in gait or walking. The superior gluteal nerve is responsible for innervation of the gluteus medius, gluteus minimus, and tensor fasciae latae muscles. Introduction. The piriformis muscle is important in turning the. 4. Figure 3: the waist-to-hip ratio in posterior and lateral views. Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. Although the safety of gluteal augmentation with autologous fat grafting is still controversial, the proportion of operations is increasing year by year. 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. Sacral dimples. Rarity: Common. the posterior border contains the inferior portion of the greater sciatic notch and the lesser sciatic notch, which are. Open bite of unspecified buttock. Like the square butt, fat distribution, hip bone shape, and muscle development determine the shape. These cysts can contain hair, skin fragments, and other tissue. However, if referral is required please refer as soon as possible. read more. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. In some individuals the crease is very deep, and remains folded all the time. The rash is often very itchy. Hi ladies i just wondered if you could help me. However, the relationship between congenital spinal cord. Hi ladies i just wondered if you could help me. 14,15 In the present study,we focused on these low-risk lesions, examining the roleof,validityof, and needforhigh-quality USexamination inaffectedinfants. GreenAwareness. Have any other moms on here. 68, 0. With the gluteal tissue mainly supplied by the direct cutaneous perforators from the internal pudendal artery, it is now the flap of choice for vulvar reconstruction. 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. Common neoplasms include angiosarcoma, fibrosarcoma, leiomyosarcoma, liposarcoma. They may be associated with a tuft of hair. A Brazilian butt lift is a common buttock enhancement procedure. below the level of a symmetrical gluteal crease? Yes No Reassure parents that this is not significant and no follow up or investigation is needed. In 45% of the photographs, this crease was observed, formed by two lines arising in the proximal portion of the gluteal crease. 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. 2-7. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. He introduced the notion of “Gluteal Suspension System”. (the top of the crease between her. Most people prefer a defined crease as it creates the illusion of a defined, elevated, and rounded buttock. Both types of dimples are usually present at birth. 3 answers / Last post: 12/07/2018 at 8:49 pm. Gently tucking your pelvis and driving your heels into the floor, lift hips straight up toward ceiling. These patients tend to have central obesity, thin legs, and a tall pelvis. causes Diagnosis & treatment Overview A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. tenderness. Fayetteville, GA. . 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. At . Many of my patients who desire a fuller, beautifully rounded backside, with great projection, opt for BBL. This is the American ICD-10-CM version of S31. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. ICD-10-CM Diagnosis Code Q82. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. V-shaped crease. Posted 15-01-11. Hey Ladies. It’s usually located near the tailbone at the top of the buttocks crease. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. Results: The mean surgical time was. 201. Symptoms that always occur with. Mar 18, 2018 · Y shaped gluteal waiting for scan.