The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. Origin. "Genital herpes" refers to herpes that affects the anus, scrotum, vagina, penis, vulva, cervix, buttocks, and inner thighs. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. The patient had a bra applied. Answer: The mistake of trying to create a defined crease with Liposuction. Herron A. 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). 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. Longitudinal sonogram shows hyperechoic filum of normal size (< 1 mm) ( arrow ) at L5-S1. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Buttocks are formed mainly from two large muscles on each side. Hair can then enter the abscess cavity and provoke a foreign body tissue reaction. Coccydynia is a common condition that is known to be difficult to evaluate and treat. Q82. worried for my 7 weeks old son. She took some pictures and sent them to a neurosurgeon who said we. Furthermore, manual palpation of the deep gluteal area should elicit recognizable pain by the patient. If you see something that looks like a pimple on your butt, you might assume it's acne. Firmness could also be an indication that your lump is more than a fatty deposit. Figure 1: Ligaments of the gluteal region. Gluteus maximus muscle,3. They may be associated with a tuft of hair. She explained that it needs to be watched over the. 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. Both types of dimples are usually present at birth. Candidal diaper dermatitis involves clinically significant infection with Candida albicans and presen. There is paucity in the literature regarding the role of the elastic fibers component in skin crease formation. As an aside, plastic surgeons want you to know the “most. 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 . ” 1,2. Pain or tingling the legs or back; Curvature of the spine Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Male/8. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. Itchy skin tags. They are localized just above the gluteal furrow and usually not associated with underlying dysraphism. Keep your arms straight as you lift the weight with your hips and glutes. The infra-gluteal crease is the distinct crease line, separating the buttocks from the thighs. They are localized just above the gluteal furrow and usually not associated with underlying dysraphism. 8 may differ. of or relating to the gluteus muscles… See the full definition. Osteology. 2 months at imaging were included in the study. The rash is often very itchy. 5%. 1. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. My daughter, who is a graphic designer, provided substantial assistance in the development of this image. The remaining 2 infants had 2 deep dimples within the gluteal crease. The overall preferred ratio was 0. depression of the buttocks, (2) supragluteal fossettes, (3) a V-shaped gluteal crease (‘‘sacral triangle’’), and (4) the infragluteal fold [2–4]. Continue this incision through the popliteal fossa to the upper calf. Mar 18, 2018 · Y shaped gluteal waiting for scan. Kaitlin N. The inferior-medial compartment is encased by the ischiocutaneous ligament and is triangular in shape. Feature Agreement Comment; Neurocutaneous: 1/1 (100%) Café au lait lesion not appreciated via telemedicine but appreciated in-person. Based purely upon your photos and not an in person physical exam, you may be better off playing it safe and avoiding any surgical treatment for your particular lower buttock double crease. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). A true sacral dimple is more than just a y shaped butt crack. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. read more. Indications. In 45% of the photographs, this crease was observed, formed by two lines arising in the proximal portion of the gluteal crease. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. Moral of the Morsel. 1 doctor answer • 2 doctors weighed in. At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. 7A —Positional pseudomass in 2. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. c. 2. When performing liposuction, care must be taken to avoid certain areas of the body that had important connections between the skin and the underlying muscle. Dr. Figure 2: Contents of the greater and lesser sciatic foramina. 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. Patients with traumatic buttock injuries and contour deformities from injections also require reconstruction, often with. Y Shaped Bottom Cleft. Four of the most recognizable characteristics of an esthetically pleasing gluteal region are: 1. g. During the operation, the superior and inferior gluteal artery and nerve should be exposed at different levels. 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. The clinical presentation of a tethered cord syndrome is quite variable with a combination of subcutaneous, neuro-logic, orthopedic, and urologic symptoms. The inferior gluteal line follows a similar path but is shorter and less curved. 870); Bite of buttock NOS. Common neoplasms include angiosarcoma, fibrosarcoma, leiomyosarcoma, liposarcoma. Psoriasis affecting the buttocks is a form of genital psoriasis. Deep dim-ples were noted in 1. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. Download scientific diagram | A: Intraoperative photograph of thickened filum terminale or lipoma of filum terminale prior to sectioning. Is it risky to put on buttocks?Pediatrician. Ringworm: More commonly known as jock itch, ringworm is a fungal infection that causes a red, ring-shaped rash in the groin and butt area. 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. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. We would like to show you a description here but the site won’t allow us. 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. This is the American ICD-10-CM version of L30. Arthroscopy2021 Feb;37 (2):435-437. 8 became effective on October 1, 2023. , hemangiomas. In very mild cases, such as isolated. [99,100] described it as: 1. Some consider the term spina bifida occulta. Lagertha1. (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. . The 2024 edition of ICD-10-CM Q82. Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. 6 may differ. Sacral Dimple. 4% (n = 15); all but 2 infants had 2 shallow depressions within the gluteal crease. Answer: Gluteal fold can definitely be created. the posterior border contains the inferior portion of the greater sciatic notch and the lesser sciatic notch, which are. Subcutaneous fat topography, and 4. The underlying bony framework, 2. Low-risk skin stigmata in infants: the role of ultrasound screening. Pediatr Rev. 1016/j. The vertical line starts from sacrum to the perineum. 9 - other international versions of ICD-10 L98. O'Neill, Danielle Gallegos, Alex Herron, Claire Palmer, Nicholas V. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. The nerve exits the pelvis through the greater sciatic foramen. A lump of the lower back. Like the round butt, a heart-shaped behind is desirable but less common. However, the relationship between congenital spinal cord. The large gluteal muscles (gluteus maximus, gluteus medius, and gluteus minimus) insert onto the hip bones (iliacs), lower spine (sacrum) and leg bones (femurs). Vascular cutaneous changes over the mass are visible. This is the American ICD-10-CM version of Q82. Top Symptoms: small facial lump, yellow or white facial bump. 7 The locations of the perforators from the internal pudendal artery. : Sacrococcygeal dimples in the gluteal fold, also known as coccygeal pits, are observed in 2%-4% of. The sacral plexus nerves help with motor and sensory function in the thighs, lower legs, feet, and pelvis. ICD-10-CM Diagnosis Code M76. • Although most lesions occur in the midline, eccentric lesions are not inThe rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 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. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Vascular loop is around the filum. This area is the groove between the buttocks that. Definition. 4. Five hundred twenty-two patients with a mean age of 6. Pediatrician. 5 mm. skin tags. Neurosurg Focus Video. 1016/j. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. 782. y shaped butt crack. a patch of hair by the dimple. 12. Apple-shaped gluteal regions are the most challenging to enhance, often requiring larger volumes in the inferior and lateral regions of the buttocks. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. L30. 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. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. Dancing and. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. Sacral dimples can be “typical” or “atypical”. Approximately 4 cm oval, circular shaped wound. The gluteus minimus is fan-shaped and is attached distally to the femur at the anterior border of the greater trochanter. Isolated midline dimple was the most common indication for imaging. Answer: Sacaral dimple. Fig. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Hi moms! I am a FTM with 2 week old. and extending past bilateral gluteal creases 4 cm on posterior thighs. Although gluteal lift as part of the. Skin ulcers cause a crater-like depression in the skin, which may weep clear fluid (called serous ), blood, or, when infected, pus. ” Example of wording for Severe IAD: “After assisted to a semi-prone position for exam, areas of epidermal denudement are noted on. c. Handler Download MyChart to connect with your care team. L30. read more. ANSWER: SACRAL DIMPLE. Most sacral dimples are harmless and don't need treatment. Fig. Youssef, Seth W. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. Whiteheads are caused by hair follicles becoming clogged with oil & dead skin cells. Y shaped gluteal cleft. Background. The superior tip of the intergluteal. Answer: Contouring the gluteal crease with liposuction. Vascular SupplyThe most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. 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. Now I’m freaking myself out because everything you see on google says tethered spinal cord. Results: All profunda artery perforator flaps have been successful. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Abnormal palmar creases; Accessory skin tags; Benign familial pemphigus [Hailey-Hailey] Congenital poikiloderma; Cutis laxa (hyperelastica)Posted 15-01-11. 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. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT:. 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. Full. Both left and right breasts were very similar in size and shape. A. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. 201. 0. 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. I'm so confused. Prostatic hyperplasia may cause difficulty in urination, retention of urine, and incontinence, or it may interfere with the ability to have an erection. 58 when compared with the buttock ratio of 0. 1%) underwent plastic reconstructive surgery with V-Y advancement flaps. The rounded femoral head sits within the cup-shaped acetabulum of the pelvis. This is the American ICD-10-CM version of S31. I can not find anything in the ICD-9 book that even comes close. The patient has an unusual sacral crease and sacral dimple. Treatment of a gluteal injury depends upon the type of the trauma. Most coccygeal dimples are located near the midline, within or just above the gluteal crease (within 2. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. its likely nothing to worry about, but you can always ask your dr for an ultrasound to be sure. This can be accomplished with liposuction or specific suture techniques. 5 cm of gluteal muscle is harvested, supplied by the proximal parasacral perforators. Sacral dimples can be “typical” or “atypical”. 9 is the only thing I can come up with and I am afraid that is to broad for insurance to pay. It's like it is a little. 4% (n = 15); all but 2 infants had 2 shallow depressions within the gluteal crease. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. It is very normal for babies to have these deep creases at the top of their bottom/bottom of their back. 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). Fig. Accuracy of abnormal neurologic examination findings. The buttocks are two parts of the body. Typical dimples are found at the skin on the lower back near the buttocks crease. Isolated midline dimple was the most common. Overlying these muscles is subcutaneous fat tissue. 5 hours longer or approximately 2-fold compared with that of Group B. They may be associated with a tuft of hair. Folliculitis. The gluteal cleft and the gluteal fold both occur normally in humans. To reduce the risk of transmission, people living with anal herpes need to employ additional prevention strategies, including:The anterior gluteal line begins near the iliac crest taking a curved path posteriorly and inferiorly towards the greater sciatic notch. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. Allergens to hygienic products, chemicals, or plants can also cause itchy, red bumps on on the butt. ICD-10-CM Diagnosis Code S31. The surgeon will be able to determine if you just need a gluteal fold or if you benefit from additional volume. Soft-tissue caudal appendage plus bony caudal prominence in a male infant. 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. 4. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. The gluteus maximus is the largest of the gluteal muscles. Objective: To evaluate the feasibility and complication rate of the V-Y gluteal fold flap in surgery for vulvar cancer. GLUTEAL FLAPS. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. I think that there is a very good chance, that your son would have no symptoms yet. 38. The meaning of GLUTEAL is of or relating to the gluteus muscles. 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. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. Hypertrichosis. The base of the triangle attaches to the sacrum (tailbone), while the opposite end attaches to the side of the femur (upper thighbone). Natal crease: That is very normal, for newborns. The gluteus maximus muscle is the most superficial muscle in the gluteal region (see Fig. 2009. Sacral dimples and pits are much more commonly found than are closed neural tube defects. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. 2021 Apr; 4 (2):V10 Epub 2021 Apr 01 View PubMed; Bookland MJ, Ahn ES,. He introduced the notion of “Gluteal Suspension System”. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT: Male/0. When a sarcoma is deep-seated, growing quickly, and located near sensitive areas like the sciatic nerve, it may be painful. Multiple dimples were encountered in 1. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. Gluteal Region is the back and side of lateral half of pelvic region. Read below for more causes and how to treat butt boils and bumps. The name comes from the sacrum, the bone at the end of the spine, over which the dimples are found. GreenSkin tags are usually raised, hand off the skin. A. On examination, a violaceous erythema with a rim scale on the gluteal crease and perineum was noted. O’Neill B. Gluteal cleft is the vertical partition which separates buttocks. One study demonstrated that isolated gluteal cleft deviation or forking. Firmness. 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. Four different anatomic variables:1. In fact, an inflamed hair follicle ( folliculitis ) is the most common cause of red, inflamed pimples on your butt. It. A positive test suggests pathology involving the inferior gluteal nerve, L5. 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. 2020 Nov; 47 (11):1050-1053 Epub 2020 Sept 10. Areas of the ulcer may turn black as the tissue dies. zoemcr. It makes up a large part of the shape and appearance of the hips. A V-shaped proximal gluteal crease was accentuated by. kdmahnke13. A pilonidal cyst can be extremely painful especially when sitting. The gluteal region refers to the general region of the. These four muscles fill the gluteal (buttock) region and provide it with shape and form. 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef MJ, Wieland CN. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. The rounded shape of the buttock is due to the gluteus maximus muscle. A posterior skin flap was elevated approximately 3 to 4 cm. CONCLUSION. 8. 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. 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. 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. Immunization for new born babies, best place to put injection is on the buttocks or on the arm. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. Figure 4: degrees of ptosis (A) Degree zero: the crease can reach T-line but not. If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. Kevin Tehrani, M. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. 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. Coming Soon—Pediatric Care Online on New Unified Site Posted 10/20/21 Coming in November, all your trusted AAP resources, including Journals, News, Point-of-Care Solutions, and Books, are moving to one unified site offering unparalleled innovation with streamlined access to essential pediatric titles all in one place. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip. A sacral dimple is defined as a midline dimple less than 5 mm in diameter and no further than 2. Yes my son has that. Liposuction is a safe, popular, and effective way to contour the body. These cysts are usually caused by a skin infection and they often. 8 became effective on. its like an actual dimple (looks like a small hole) in the skin. (Y-shaped) gluteal cleft in 3 8 (7%. The distinctive anatomic and radiologic features are discussed. Two-month-old boy with divot in the lower back, shown here with the gluteal crease relaxed (A) and spread (B). 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. Answer: Sacaral dimple. Isolated midline dimple was the most common. Ankle sprains are prevalent musculoskeletal injuries, with an injury rate of up to 11. Doctoral Degree. The skin creases at the top of the cleft (white arrow) are on either side of a prominent, but otherwise normal, sacrum and coccyx. 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. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. The outer border of a skin ulcer is often raised and inflamed. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It's usually just. 5%. Actively look for concerning findings. If your lump is soft and easy to move around. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). Other possible symptoms of bruises include: firm tissue. This crease is seldom seen in children and young thin adolescents whose buttocks are not hypertrophic. The 2024 edition of ICD-10-CM L30. Open neural tube defects are lesions in which brain, spinal. Isolated midline dimple was the most common. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. The gluteus maximus is the largest and most superficial of the three gluteal muscles. Note: (1) Multiple lesions and any neurological abnormalities warrant consultant review and discussion with neurosurgical colleagues prior to further. 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. Heart-Shaped Butt. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Psoriasis affecting the buttocks is a form of genital psoriasis. Cutaneous hemangiomas are the most frequent benign tumors in children. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. If an individual has this condition, it can be corrected surgically depending on the severity. Like the square butt, fat distribution, hip bone shape, and muscle development determine the shape. 4 may differ. R. 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. An experienced surgeon can sculpt this area with laser liposuction (SmartLipo) for you. The two sides of the V extend toward the supragluteal fossettes and are formed by the insertion of the gluteus maximus into the lumbodorsal aponeurosis. If mostly adipose tissue (fat), you can have Zeltiq Coolsculpting to freeze the fat. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. Posterior view and B. The donor site is well tolerated and scars have been hidden within the gluteal crease. Attachments: Originates from the. Proximal Hamstring Tendon Injuries: Diagnosis and Management. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. Isolated midline dimple was the most common indication for imaging. The 2024 edition of ICD-10-CM Q82. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 20-Minute Workout for Lower Glutes and a Better Under-Butt. 1,4 However, some believe all gluteal cleft anomalies other than dimples warrant further. 4 - other international versions of ICD-10 L30. Learn more about how to deal with. Figure 4: degrees of ptosis (A) Degree zero: the crease can reach T-line but not. Landmarks can also be used to identify the location of the emergence of the inferior gluteal artery outside the pelvis. (the top of the crease between her.