71: Circumcision: Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. The area you are referring to is often called the gluteal cleft. described the origin of the uterine artery as a separate branch from the internal iliac, as a bifurcation with the inferior gluteal, and as a trifurcation with superior and inferior gluteal arteries in 37%, 10%, and 29%, correspondingly. The disorder causes the tendon tissue to break down or deteriorate. my full-term newborn boy has an asymmetric 'y' shaped crease at the top of his intergluteal cleft. Figure 1. split in 2 distinct components with one dorsally and one inferiorly going between a bifurcated sciatic. The 2024 edition of ICD-10-CM Q82. Basic Facts HAIR: The term “Pilonidal” technically means “nest of. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). The child’s Weprin and Oakes5 conducted a thor- the authors examined the records of condition will need to be confirmed by ough English language literature search 1,000 patients — mostly younger than MRI and repaired after age 8 months per of cutaneous coccygeal abnormalities. Nail psoriasis, psoriatic lesions in the gluteal cleft and on the scalp usually accompany PsA, especially in adult men [5, 6]. A pilonidal cyst can be extremely painful especially when sitting. Potential causes are diverse, including traumatic, infectious, autoimmune, inflammatory, neoplastic, neurologic, and iatrogenic conditions. Twenty-seven patients had a low-lying spinal cord, and only one patient was suspected of having a tethered cord. The skin in my gluteal cleft ( right at top of bum crack) keeps splitting, off and on for the last 18 months and it's very painful. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples. An odor from draining pus. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. k. This is the American ICD-10-CM version of M21. supplies: 1. A large towel can cover the adductors of the table-side leg. It is also called butt crack or ass crack. b. This often occurs in patients with significant horizontal length discrepancy between the upper. 5 cm. Epidermoid cyst. 1-1). 0%. Psoriasis can affect the gluteal cleft. The 2024 edition of ICD-10-CM S31. Should I be worried?The neural tube is formed by the lengthwise closure of the neural plate, in the dorsum of the embryo. 5 cm from anus • Less than 5 mm diameter • Localized in gluteal cleftType I patterns were superior to the gluteal cleft; type II were central, partially incorporating the superior portion of the cleft; and type III were characterized by the cleft spanning the entire height of the pattern. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. The gluteal region is then prepped and draped in standard sterile fashion. Hi, I have spinal biftia, tethered cord and unknown brain pressure right side ,because knowone will put out and I hsve teeth that don't numb in the back so I was offered aditivan, I never takin it before and some nervous of side effects ,I have sleep apnea will this lower my oxgen levels,during this and will this even help get through where part of my tooth. These cysts are congenital, meaning they’re present at birth. Shaving along the intergluteal fold and surrounding region can be used as a first-choice treatment in cases without abscess or as a standard component of the post-operative treatment in order to prevent. No other skin changes are seen. Note the double ‘equals sign’ and the changing distance between both parts showing the cleft uvula. Infection may spread to the perineum and perianal areas, into the gluteal cleft, or onto the buttocks. Typically, pilonidal cysts occur after puberty. Porokeratosis ptychotropica, which has recently become part of these variants, is quite rare and little known. 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. I discovered a hard, painfu massl on my gluteal cleft area. Yesterday I had some pain when a sat/put pressure on the area. Should I be worried?Diagnosis. Senile gluteal dermatosis (SGD) is a condition of the elderly where hyperkeratotic, lichenified skin lesions occur around the gluteal cleft and over the ischial tuberosities on the lower buttocks. 1,343 satisfied customers. 5. Sacral dimples are common and unproblematic in the vast majority of cases. Constipation or stool accidents. Branchial cleft cysts appear at any age, but children. Pilonidal literally means a “nest of hair. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. Has anyone had any expierence with this ?Answer: Gluteal cleft. The cleft and peri-anal skin is intact. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. Cleft foot is very rare, affecting fewer than 1 in 1,000,000 babies. 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. Samir Shureih MD. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. The buttock refers to the rounded bulge in the lower part of the gluteal region. 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. Numerous technical differences in how gluteal augmentation surgery with implants is performed also exist, and to date,. -Pelvic abscess extending intobuttock inpostoperative patient. This can be avoided with the correct management. You the reader assume full responsibility for how you choose to use it. 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. Nine patients had 2 LsCMs suggestive of OSD; specifically, gluteal asymmetry and a coccygeal pit (2 infants); lumbar hair and coc-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. A towel can be used just distal to the iliac crest to secure the sheet from slipping down. Unspecified open wound of left buttock, initial encounter. 1B). Inflamed, swollen skin. 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. Medially, the region extends to the mid-dorsal line and is called the intergluteal cleft, which is the groove that separates the buttocks from each other. A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. Psoriasis is an inflammatory disease that manifests most commonly as well-circumscribed, erythematous papules and plaques covered with silvery scales. . The 2024 edition of ICD-10-CM T86. S31. described the origin of the uterine artery as a separate branch from the internal iliac, as a bifurcation with the inferior gluteal, and as a trifurcation with superior and inferior gluteal arteries in 37%, 10%, and 29%, correspondingly. Present On Admission. The patient is intubated on a sterile draw. read more. 2 is considered exempt from POA reporting. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. John Bascom in 1987. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft. 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. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. This may be because most existing studies do not specify the research methodology or employ subjective methods: for example, Shore and Duray. In the neonatal period the asymmetry of the gluteal folds and odier skin folds is usually not as apparent as it is in diis infant. A sacral dimple is diagnosed with a physical exam, usually during a baby's first exam. Cleft uvula. Multiple factors contribute, including genetics. Our review of 8 consecutive pelvic reconstructions with at least 6 months follow-up show that minor skin dehiscence defined as incisional opening less than 5 cm in length was the most. (170 g) 12 Triad applied directly to the wound Triad impregnated into gauze Facilitating autolytic debridement 1. . 34 - other international versions of ICD-10 M26. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. 9 may differ. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. These tests may include: Ultrasound. Known risk factors include family history, local trauma, sedentary occupation, and obesity. Should I be worried?My pediatrician said my son has a bifurcated gluteal cleft. It's a type of neural tube defect. 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. 5. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. 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. Surgical revisions to correct a secondary cleft lip deformity may be safely performed during the same anesthetic procedure through the growing age (postpalatoplasty fistula repair, intermediate cleft rhinoplasty, velopharyngeal insufficiency surgery, or secondary alveolar bone grafting) or at skeletal maturity (after orthognathic surgery, when it is indicated; and definitive surgical. Physical therapy exercises can help, although some people need other interventions. Itching is often present. Remove the tibia and fibula. Complete 10 to 15 reps. The literature reports median tongue clefts only to be associated with orofacial digital syndromes type I, II, IV and VI. Urinary tract issues (which include trouble emptying their bladder and frequent urinary tract infections. Yesterday I had. • Gluteal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant further evaluation. The inferior gluteal nerve is a motor nerve responsible for the motor activity of the gluteus maximus muscle. The negative pressure drives hair deeper into the sinus and appears to be exaggerated with a deep gluteal cleft. ICD-10-CM Q18. 829A became effective on October 1, 2023. Often during early embryology midline structures have not get formed but I rather from the left and right sides coming together. The cleft lift flap , also known as the Bascom procedure, is designed to “lift” the concavity of the natal cleft and create an incision that is closed off midline (Fig. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. M21. 1 The latter name, although. 622 became effective on October 1, 2023. The distinctive anatomic and radiologic features are discussed. Septate uterus increases the risk of early pregnancy loss, and hysteroscopic intervention to resect the septum is sometimes pursued. Radiation Oncology Attendi. Methods: Retrospective review of outcomes of 590 consecutive surgically treated patients. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). ICD-9-CM 757. Depending on the type of your infection. It's usually just above the crease between the buttocks. Referred pain is often felt over the sacrum. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. About 50% of patients with nail psoriasis complain of pain, stiffness or swelling of the interphalangeal joint in the absence of a diagnosis of arthropathy, which could suggest the early stage of PsA [ 7 ]. Sacral Dimples and Pits: When to Worry. 819A became effective on October 1, 2023. With thousands of award-winning articles and community groups, you can track your. Surgery now has methods that produce early healing, low recurrence rates. simple sacral dimple, and. Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch ,. Y-shaped gluteal cleft; Limbs . This is the American ICD-10-CM version of Q36. The child’s Weprin and Oakes5 conducted a thor- the authors examined the records of condition will need to be confirmed by ough English language literature search 1,000 patients — mostly younger than MRI and repaired after age 8 months per of cutaneous coccygeal abnormalities. OBJECTIVE. Now I’m freaking myself out because everything you see on google says tethered spinal cord. 821A. Patients with IAD experience considerable discomfort, with pain, burning and itching in the affected areas (buttocks, perineum and gluteal clefts) [1,2,3]. 3 The surgeon marks the standing patient. Describe the difference between male and female pelvis. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. Idiopathic gout, left ankle and foot. 39 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 757. 5 cm from the anal. 4. The 2024 edition of ICD-10-CM Q82. ICD 10 code for Superficial foreign body of lower back and pelvis, initial encounter. 061 - other international versions of ICD-10 M21. Distinctive skin lesions of SGD are brownish scaly plaques on the gluteal cleft and both sides of the buttocks assuming a pattern of “three corners of triangle” (Fig. 1% (in Germany) to as high as 6. Neural tube defects are a spectrum of disorders that can affect the brain or the spinal cord. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). It most commonly affects males aged 16-30 years. Treatment options are extensive but most often include incision and drainage with. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Children with this condition often experience speech problems and difficulties breast or bottle feeding as infants. We would like to show you a description here but the site won’t allow us. The gluteal region refers to the general region of the. A review of 5 cases described a characteristic clinical presentation of a butterfly-shaped bilateral gluteal cleft lesion on most patients. 2-7. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Now I’m freaking myself out because everything. Pathologic entities in the gluteal region reflect the diversity of tissue types present. Distal leg and foot weakness are common, although sensation is curiously spared. Abstract. 0 may differ. INTRODUCTION. (71 g) 12 1967 6 oz. George Karydakis in 1973. Keep the wound clean with mild soap and water or a saline rinse as directed. Twenty-seven patients had a low-lying spinal cord, and only one patient was suspected of having a tethered cord. D ISCUSSION. read more. 0 became effective on October 1, 2023. A pilonidal cyst may not cause symptoms. I had an I&D today and the pus the swab was sent to a Lab. Hello, I can understand your anxiety. The internet is a wonderful resourceE. HSV-1 and HSV-2 have been observed as the causative. Diaper Area, Buttocks, and Gluteal Cleft OVERVIEW The unique environment of the diaper area is predisposed to the friction of repeated movement, chafing, local heat, and maceration from retained moisture, all of which serve to provide an excellent environment for potential irritant, fungal, as well as bacterial complications. 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. Median (range) time from ICI initiation to inverse psoriasis development or flare was 7 (4-12. SGD presents in. 5 cm area of induration, fluctuance, erythema, and tenderness to the right buttock along the gluteal cleft. A 1-day-old girl is seen for routine care in the newborn nursery. Psoriasis can affect the gluteal cleft. This topic will review the clinical manifestations, diagnosis, and management of closed spinal dysraphism. 95. Feb 4, 2023 at 3:55 PM. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. difficult-to-dress wounds with light-to-moderate exudate such as those near the gluteal cleft. As a result of friction, significant scale if often lacking. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. 96. Congenital branchial cleft anomaly. 8 may differ. A pilonidal cyst is a small, fluid-filled pocket that forms just above the cleft of the buttocks. 6 may differ. Design Before-and-after trial. 419 became effective on October 1, 2023. Spina bifida is a birth defect that occurs when the spine and spinal cord don't form properly. P13. Pilonidal Disease Fact Sheet A Pilonidal (abscess, cyst, sinus, dimple) is an abscess in the natal cleft (more commonly referred to as your butt crack) that tends to become infected and cause intense pain and drainage. Based on your photo, it looks like it could be improved with surgery. My pediatrician said my son has a bifurcated gluteal cleft and ordered an ultrasound for his spine. Fig. In the patient's gluteal cleft, about 3 cm away toward the coccyx, there was a perineal wound. These are the two fleshy fatty prominences formed by the gluteus maximus muscles. It separates the two glutes (and the. This is the American ICD-10-CM version of M67. The aim of this article was to summarize results of the consensus sessions that occurred. Grade of recommendation: 1C. The _______ and ___________ are considered part of both the pelvis and the vertebral column. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). In the midline of the back is a longitudinal groove known as the median furrow (or sulcus) (Fig. 7 became effective on October 1, 2023. hairy tuft, rudimentary tail, hemangioma)origin secondary to abnormal skin in the gluteal cleft,4 the current widely accepted theory describes the origin of pilonidal disease as an acquired condition intimately related to the presence of hair in the cleft. ICD-9-CM 757. In person evaluation is needed. This area is the groove between the buttocks that. A. Albulescu et al. 072 may differ. Follow your baby's amazing development. The buttocks can be the most susceptible place boils for two reasons. A crooked crease between the buttocks. Affected individuals. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus. 6 months old. Has anyone had any expierence with this ? Thanks x. • Suitable for use on neonates1. There is often a delay in diagnosis of anal margin cancers due to the location and nonspecific quality of symptoms. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. Visit often to see all the newly. We cut down about 2-3 cm through. The gluteal cleft is protected with Ioban dressing, and the sterile field is draped out from the lumbar spine to the distal thigh ∼2-3 cm above the knee. ) View Full Size | | Download Slide (. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. The. Low-risk features include a flat hemangioma, non-midline lesion (such as a forked gluteal cleft), coccygeal pit, or simple sacral dimple [11, 13]. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. 7 may differ. Associations have also been postulated with cleft palate, mandibular cleft, midline palatomandibular bony fusion and cervical vertebrae. Usually asymptomatic; affects the head, neck, back, or. Even when those defects occur, they are usually. The prevalence of ITD was higher than rates reported in prior studies; we searched the literature. Disclaimer: This health information is for educational purposes only. It occurs in the perineum, labial folds, groin, upper thighs, buttocks, rectal area and gluteal cleft, as well as areas where there is increased friction between skin and clothing, or between skin and absorptive devices 3, 4. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. ICD-10-CM Coding Rules. Common triggers include trauma, infection, and certain medications. 0±8. My boyfriend has an ulcer (looks like a bedsore) along one side of his gluteal fold. Keep your arms straight as you lift the weight with your hips and glutes. The gluteal fascia is then incised longitudinally around 2 cm from the intergluteal cleft. 2 is grouped within Diagnostic Related Group (s) (MS-DRG v41. Cleft uvula. Surgery now has methods that produce early healing, low recurrence rates. The cyst is characterized by a noticeable lump or bump on the skin. It demonstrated a 2. 19,068 satisfied customers. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. 7 - other international versions of ICD-10 Q35. With thousands of award-winning articles and community groups, you can track your. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Should we be worried? Cleft lip, bilateral. The 2024 edition of ICD-10-CM Q35. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/0. 4. The intergluteal cleft (a. 16 min. a. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Gluteal cleft Shield Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. difficult-to-dress wounds with light-to-moderate exudate such as those near the gluteal cleft. 5 cm in diameter Concerning features: multiple dimples (look along. While the exact mechanism of how it occurs is not fully understood, an infection occurs at the base of the hair follicle at the base of the back and can track to areas in the skin and create an abscess. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. I think getting. 8. 6). 49. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as. Landmarks are identified and marked with an indelible marker. After injecting with 0. 1. 072 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. 5 cm from the anus. When severe, this can cause erosions (Fig. The superolateral accessory ossification center of the patella is usually present by 12 years of age and may persist into adult life. The most common neural tube defects include anencephaly, which affects brain and skull development and is incompatible with. These cysts are usually caused by a skin infection and they often. Q36. 49. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. 2 is grouped within Diagnostic Related Group (s) (MS-DRG v41. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. Unspecified open wound of right buttock, initial encounter. The rotating of tissue causes the gluteal cleft to shift. z. The lower part of the neural tube forms the spinal canal. T86. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. cl ose to or within the natal cleft. Gluteal cleft. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 061 may differ. As the tittle says I am currently waiting on a back scan for my little man hes 14 weeks old hes got a y shaped gluteal cleft, it feels dead boney where this is. 061 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. 3 years ago • 5 Replies. A dorsal view of die same infant shows the asymmetric gluteal folds and odier skin folds. 5% Marcaine with epinephrine, we made a vertical incision along the gluteal cleft connecting the two wounds. 2 is considered exempt from POA reporting. The 2024 edition of ICD-10-CM Q36. flat hemangioma, non-midline lesion, forked gluteal cleft, coccygeal pit, simple sacral dimple, and asymmetric cleft are. has demonstrated the high failure rate of the excisional procedures . Patients may have full involvement of the axillae, inguinal folds, gluteal cleft, inframammary skin, umbilicus, or sometimes even under the stomach. The. midline without visible drainage. May 6, 2021 at 5:44 AM. Pilonidal disease is a potentially debilitating condition affecting ~70,000 patients annually in the United States alone. 419 may differ. Healed incisions lie within gluteal cleft and crease and groin creases. Course and Distribution: Inferior gluteal artery enters the gluteal region by passing through the greater sciatic foramen, below the piriformis, along with the inferior gluteal nerve. Gluteal implants are an effective and predictable way to remodel the buttocks. Other names are the anal cleft, crena analis, crena. Gluteal crease, gluteal cleft, buttock cleft, natal cleft: this is the crease between the right and left buttocks. 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. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Being sun. Its limits are (Fig. The patient denied engaging in receptive anal intercourse and had no notable medical or surgical history. He had received multiple surgical resections in the past with benign pathology. gluteal cleft with associated midline pits. Histology showed a benign intradermal naevus. 2-7. The gluteal cleft most of the time heals on its own but if not, then a proper treatment along with a pain reliever is recommended. The other synonyms of gluteal cleft are anal. 2011 Mar;32 (3):109-13. Thirty-one infants with a sacral dimple had an echogenic filum terminale, and 57 children had a filar cyst. Perianal tinea is uncommon. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 8 - other international versions of ICD-10 Q82. 29 Hydrocele Bifurcated gluteal fold CM ends at L2-3 CM ends at L2-3 No clinical TCS; PT Male/10. Oct 16, 2008 #2 you're joking right? ? M. The causes of orofacial clefts among most infants are unknown.