We have been told our 6 week old son has a forked gluteal (naval) cleft or I y-shaped crease at the top of his button crack. 1a,b). Messages 2,335 Location ENGLEWOOD/DENVER Best answers 0. Feb 4, 2023 at 3:55 PM. 8. The remainder of the exam was essentially normal. Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. Figure 2. They may be associated with a tuft of hair. deviated or duplicate cleft) 9 What to do with sacral dimples? Simple Sacral Dimple (all 3 criteria must be met) • No more than 2. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. 49. A duplicated gluteal cleft associated with occult spinal dysraphism. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Had our first well check today and scheduled an ultrasound. 7% had lumbosacral and/or coccygeal hairiness. Immediately after birth, the nurse is caring for a newborn with a myelomeningocele. Lesions at these sites may lose their classic morphology, presenting instead as erythematous lesions with poorly defined borders and lichenification (Wagner et al. The number and severity of symptoms associated with 22q11. 2 deletion. Congenital branchial cleft anomaly. Had our first well check today and scheduled an ultrasound. Best answers. The 2024 edition of ICD-10-CM Q36. Typically, pilonidal cysts occur after puberty. NEUROLOGIC: Normal tone. Most sacral dimples are harmless and don’t need treatment. 5 cm above the anus) and solitary. - "A Cross-Sectional Assessment of Cutaneous Lumbosacral. Routine screening tests to detect problems that cannot be seen during the physical. 2%. A total of 34 (24%) patients had an abnormal spinal US; 15 (44%. 5 should be used on the newborn record - not on the maternal record. Similar. Notable increase of both sacral and coccygeal hair. Q63. May 2020; Hospital Pediatrics 10(6)D ISCUSSION. Is composed mainly of collagen fibres, it is strong enough to support the sacrum. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. It’s usually just above the crease between the buttocks. 1 may differ. 34 - other international versions of ICD-10 M26. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. Anus opening absent, gluteal cleft, and anal dimple not well developed. 7% had lumbosacral and/or coccygeal hairiness. basically, the top of his bum crack makes a y shape…Red Flags! •Midline (or near-midline) tuft of hair (hypertrichosis) •Midline (or near-midline) capillary hemangioma •Midline (or near-midline) subcutaneous mass (lipoma) •Caudal appendage •Deviated or duplicated gluteal cleft •Expression of fluid from dimple •Dimple located more caudally •Inability to see base •Swelling/erythema around. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. The vertical line starts from sacrum to the perineum. Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch ,. 3 March 2011 111 Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. (e. Visited with specialists to better understand her asymmetrical duplicated gluteal cleft, lumbar hemangioma, and then a CT and swallow study to help us figure out her NeuroEndocrine Cell Hypoplasia of Infancy. 6% had dimples, and 24. This could be a sign of a spinal cord tether, spinabifida etc. Cleft foot is very rare, affecting fewer than 1 in 1,000,000 babies. I can’t help but worry!!!ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. 24. skin tags. In person evaluation is needed. Dimensions of the proposed intramuscular pocket are designed and the bilateral gluteal cleft incisions are marked. Cleft palate, unspecified. The 2022 edition of ICD-10-CM Q82. 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. Access records and results, view and pay bills, request prescription renewals, and request appointments. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. Dec 1, 2018 at 7:24 PM. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an. This is the American ICD-10-CM version of Q37. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 156 Other ear, nose, mouth and throat. Q82. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 34 may differ. 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. 7 - other international versions of ICD-10 Q35. Methods. This is the American ICD-10-CM version of P01. Concerning findings warranting further work -up: dimples located superior to natal cleft or more than 2. A duplicated gluteal cleft associated with occult spinal dysraphism. Stumbling or changes in gait or walking. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 730 became effective on October 1, 2023. 8. Posted 06-05-18. Background. . The. The hub of the catheter was secured in the , and the patient's features of sepsis improved over. Code. 6 - other international versions of ICD-10 Q82. Had our first well check today and scheduled an ultrasound. Other perianal infectionsHad our first well check today and scheduled an ultrasound. P92. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. The hip joint is the most stable joint in the body and is supported by a very strong capsule and several. 14 Q36. Open the PDF for in another window. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. 5 - other international versions of ICD-10 Q82. Sacral dimple ultrasound – sagittal. The current prospective study from Tel Aviv assessed 254 infants less than 6 months of age who were referred for neurosurgical consultation; 154 had these isolated, low-risk skin. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). ) (gestational age 40 weeks, birth weight 3460 g, length 54 cm) The female patient was transferred for spinal sonography at the age of 5 days due to an asymmetrical gluteal crease. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Kaitlin N. Single, deviated gluteal crease with dimple. ICD-10-CM Coding Rules. a Ventral view showing two heads, with anencephaly in the left twin, a shared thorax with a single umbilical cord, and two normal upper and lower extremities. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion. Jan 14, 2019 at 9:16 PM. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules), expert recommendations vary regarding the management of other findings (duplicated gluteal clefts or coccygeal or sacral hair). Figure 4. This is the American ICD-10-CM version of Q82. Subjects. 9 - other international versions of ICD-10 Q35. 1,2 This is of importance because on rare occasions, sacral dimples. Introduction. The 2024 edition of ICD-10-CM Q82. 0 became effective on October 1, 2023. 8 - other international versions of ICD-10 Q82. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with. With thousands of award-winning articles and community groups, you can track your. On physical examination, well‐demarcated, erythematous, verrucous papules and confluent plaques, measuring 10–30 mm in size, were seen on both sides of the inner gluteal cleft, sparing the anal margin. [Zywicke, 2011] Neural Tube Defects: [Zywicke, 2011] Open vs Closed. 5 cm above the anus) and solitary. Keep the skin of the diaper area clean and dry. 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. 5 cm above the anus) and solitary. Open neural tube defects are lesions in which brain, spinal cord, or. b Lateral overview showing oblique positioning of the heads. The horizontal pattern of bruising also corresponds to areas of shear strain of. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Sacral dimples can be “typical” or “atypical”. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Usually occur in combination of other masses, e. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. 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 patch, and dysplastic skin) in 31 (6%), several of the above. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. The overall frequency of each physical. hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. 8 became effective on October 1, 2023. • Subcutaneous mass or lipoma (sometimes seen as deviation of gluteal fold) • Hairy patch • Dermal sinus ( Sinuses opening onto skin surface, located above gluteal cleft and have a cephalically oriented tract) • Atypical Dimples : o Deep (>5mm) o >2. 8% had deviated or duplicated gluteal creases, 15. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. This is the American ICD-10-CM version of Q36. Fig. At her check up her doctor noticed that she has a y shaped gluteal crease. Cute vs. The minimally invasive. 3 March 2011 111 Each referred participant was risk stratified based on specific physical exam findings. A deviated or duplicated gluteal cleft should raise concern for OSD, whether or not a dimple is present. ICD-10-CM Coding Rules. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Thirty-seven (14. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. Read More. 6% (in Turkey). Oct 16, 2008 #2 you're joking right? ? M. Gluteal cleft Meaning - YouTube. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Based on your photo, it looks like it could be improved with surgery. It is designed by a fashion designer named Kimberly brewer. #asymmetricskinfolds #anatomynote #glutealskinfolds #skinfolds #shorts #youtubeshorts☠️ DONT CLICK THIS: support our Odysee chan. nervous system sacral dimples Pediatrics in Review Vol. The patient’s. 5 cm above the anus or proximate to the coccyx, and deviated gluteal folds (DGF) including all types of folds (bifid and split symmetrical without underlying. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. I’ve noticed my baby has a Y shaped cleft on her bottom. Pediatr Rev. Youssef, MD ; Seth W. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. Minimize friction—dry the skin by patting, not rubbing, keeping in mind that friction is one of the causes. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules),. All newborns undergo an examination of the. Had our first well check today and scheduled an ultrasound. Not Included Here. Download the Guidance Document. 95. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. She took some pictures and sent them to a neurosurgeon who said we. He did great & slept through the whole thing. 9 - other international versions of ICD-10 P13. We found deviated or duplicated gluteal creases. Includes. It is estimated that 2% to 4% of all newborns will have a sacral dimple. 5 - other international versions of ICD-10 P01. For some babies, both the front and back parts of the palate are open. ), and the gluteal cleft is normal. com. The distinctive anatomic and radiologic features are discussed. So my newborn I noticed has a shallow, small dimple right above her butt crack, and she does have a hairy back. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. 5cms from anal verge o Vascular lesion e. A. Sign in to MyChart. It is decorated from the upper side with rhinestones and colorful studs. In the pressure ulcer, the most important etiologic factor is pressure. 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. The cleft lift procedure was described by Dr. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). ANSWER: SACRAL DIMPLE. Medially, it is separated by an intergluteal cleft, while laterally, it is bordered by the hip region. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. 2 deletion syndrome include heart defects, poor immune system function, a cleft palate, complications related to low levels of calcium in the blood, and delayed development with behavioral and emotional problems. ” It affects an estimated 26 per 100,000 persons, 1 occurring primarily in young adults with a 3:1 male predilection. 4,16,18,19 A simple sacral dimple is located in the midline, within the gluteal cleft, has a diameter less than 5 mm, and is less than 2. duplicated gluteal cleft, or hemangioma (3%), a simple dimple in. This baby’s gluteal creases are uneven (note yellow lines). Open – kinda obvious (cuz they are open!) Spinal DSTs occur with a frequency of ∼1 in 2500 live births. A cleft lip and cleft palate are openings in a baby's upper lip or roof of the mouth (palate). Q18. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. The two major types of spinal dysraphism are based on the appearance, i. Pilonidal literally means a “nest of hair. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. This was a modification of the Karydakis procedure, which is an off-midline closure operation, described by Dr. 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 patch, and dysplastic skin) in 31 (6%), several of the above. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. Ultrasonography of the lumbosacral spine gener-A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. ICD 9 Code: 685. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. Figure 1. This is the American ICD-10-CM version of M67. • Gluteal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant further evaluation. There is no skin. Has anyone had any expierence with this ?Answer: Gluteal cleft. A duplicated gluteal cleft associated with occult spinal dysraphism. Is there marked asymmetry of the gluteal cleft? No Yes Is. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. He had an ultrasound at a week old and it was negative. 5 should be used on the newborn record - not on the maternal record. Messages 1,130 Location Hibbing, MN Best answers 0. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. Ultrasonography (US) of the spinal cord is performed in newborns with signs of spinal disease (cutaneous lesions of the back, deformities of the spinal column, neurologic disturbances, suspected spinal cord injury due to traumatic birth, and syndromes with associated spinal cord compression). We found deviated or duplicated gluteal creases in 24. 9 may differ. Any dimple lying superior to the gluteal cleft, outside the midline, and with a diameter greater than 5 mm commonly accompanies a spinal anomaly and warrants radiological investigation such as an MRI. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. According to his pediatrician it was only done out of an abundance of caution and typically there are two or more markers for spina bifida. D ISCUSSION. They don't usually cause problems or need treatment unless they get infected. nervous system sacral dimples Pediatrics in Review Vol. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple) Asymmetry. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Myalgia is pain in muscles, and since your Dr. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. 2,4–6 Variations between practicing clinicians with respect to the management of. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. The buttocks can be the most susceptible place boils for two reasons. 100 749. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. The code is exempt from present on admission (POA) reporting for. 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. , four cases of asymmetrical gluteal fold, two cases of dermal sinus, one case of hairy tuft, one. 4%) presented with isolated markers (200 with solitary dimples, 6 with deviated or duplicated gluteal furrows, four with cutaneous masses, and one with hypertrichosis). The urethra is absent: A fibrous cord into the anterior wall of the rectum:. Specialty: General Surgery. Had our first well check today and a scheduled ultrasound. The coccygeal region and anus are prepared with iodine or chlorhexidine. 5cms from anal verge o Vascular lesion e. There are many approaches to examining a newborn, many of which are acceptable. In most cases, there are no problems at birth. teal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant fur-ther evaluation. A. Bandaging over the area to prevent scratching through the night. It extends from the upper iliac crests to the lower gluteal fold of the skin. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. 9 - other international versions of ICD-10 Q37. Applicable To. The code is exempt from present on admission (POA) reporting for. Bust get. To assess the clinical and economic consequences of different diagnostic strategies in newborns with suspected occult spinal dysraphism. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. 7 may differ. there is a duplicated gluteal cleft; there is more than one dimple; the dimple lies outside the sacrococcygeal region; there are any neurological abnormalities noted; The above may be associated with an underlying neurological problem, for example spinal dysraphism. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. Dimples that may require further investigation are those that are large. 9 became effective on October 1, 2023. Therefore, a deviated or duplicated (“split”) gluteal cleft (Fig. The most common cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). Figure 4. The patient is intubated on a sterile draw. Messages 2,335 Location We would like to show you a description here but the site won’t allow us. 2 months at imaging were included in the study. MeSH Code: D010864. Combinations of deviated or duplicated gluteal crease + dimple, deviated or duplicated crease + hair, and dimple + hair were common groupings. Had our first well check today and scheduled an ultrasound. has demonstrated the high failure rate of the excisional procedures . On follow-up 1 month later, a relatively good cosmetic outcome was noted, with a mild standing cone in the upper gluteal cleft. Page 1 and 2: March 13 th 2012; Page 4 and 5: • Vitals: 36. 8 may differ. The superior tip of the intergluteal cleft. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " Fig. 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. This type of back dimple is directly superficial to the two sacroiliac joints, where the sacrum attaches to the ilium of the pelvis. 0. Re: Upper gluteal cleft (buttcrack) is bleeding. Congenital sacral dimple. , 2013. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Sacral dimples. This persisted at 6-month follow up imaging. I almost thought they just made that up!The presence of phosphatidylglycerol indicates lung maturity. z. Some consider the term spina bifida occulta. Q82. DX? dmaec True Blue. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. and E. findings (hypertrichosis, haemangioma, caudal appendage, deviated gluteal fold, discharging sinus, etc) > 5mm in diameter, situated above the natal cleft or > 25mm from anus. Bodily secretions. E. No other skin changes are seen. She denied fever, chills, weakness, fatigue. Results. Sacral Dimple. In newborns, the diagnosis is very ambiguous due to physiologic instability originating from the inborn laxity. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). . A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. 1% (in Germany) to as high as 6. This is the American ICD-10-CM version of Q35. One infant had urodynamics studies and a tethered cord release. A duplicated gluteal cleft associated with occult spinal dysraphism. Y Gluteal Cleft Baby. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). After completing this article, readers should be able to: Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. It occurs in 1 in 2500 live births. 419 may differ. ”. 5 cm above the anus) and solitary. 0 Central cleft lip 749. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. Q82. basically, the top of his bum crack makes a y shape…Of 1096 infants included in the study, 24. 1. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. 5 weeks old and is still yellow. 5 cm. Although fistulas above the gluteal cleft may be. @lblake907, in some cases it’s a sacral dimple and can be a sign of spina bifida occulta, but if the spine is closed then it can be (in very rare occurrences) a sign of a tethered cord. 9 may differ. Clinical pearl: Gluteal cleft anomalies (e. Fully searchable through Find-A-Code's Comprehensive Search. 155 Other ear, nose, mouth and throat diagnoses with cc. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation,Anomalies of the gluteal crease had the lowest proportion of agreement. A coccygeal pit was. It causes a deformity of the lip, nose and upper jaw. Fig.