Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. These bilateral lines create a desirable sacral diamond on the patient’s lower back, which mimics the rhomboid area of Michaelis. swelling in the area. 5 cm above the anus) and solitary. 5cm from the anal verge) o Coccygeal pits (located within gluteal cleft, oriented caudally or straight down) o Port Wine Stain or Telangiectases . Coccygeal dimples, increased lumbosacral and/or coccygeal hair, deviations and/or duplications of the gluteal crease, and lumbosacral slate-grey patches are common in healthy newborns and vary by. A pilonidal cyst can be extremely painful especially when sitting. <2. Sign in to MyChart. Pediatr Surg Int 30(5):545–548. Sacral pits with cutaneous markers (lipoma, hypertrichosis, hemangioma)In fact, the authors feel that simple dimples and deviated gluteal clefts do not require any imaging whatsoever [13]. The neural tube is formed by the lengthwise closure of the neural plate, in the dorsum of the embryo. However, if referral is required please refer as soon as possible. For instance, a congenital sacral dimple or parasacral dimple occurs in newborns at the same anatomic site but does not involve embedded hair or infection. These joints sit where the lower spine and pelvis meet. The Dr said its not attached & not to worry. zoemcr. A simple sacral dimple, defined as a midline dimple, within the gluteal cleft and without associated cutaneous abnormalities, is a common finding and considered to be a. Posted 18-03-18. Q82. Includes. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. The GP said her development was totally normal and she didn't even have a sacral dimple, just the Y cleft and with the signs she wouldn't normally refer her on but would for us to put our minds at rest, that was at 9 weeks and it's taken this long to get. 정상 변이로 양성인 경우가 대부분이지만. e. Careful inspection of the natal cleft for dimples and symmetry may reveal a dimple below the top of the gluteal crease in 2% to 4% of normal newborns. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. The upper angle is determined by the crossing of the bilateral. A sacral dimple is a small dimple or cleft at the base of the spinal cord. Expand. 6 [convert to ICD-9-CM] Congenital sacral dimple. This study included 230 infants under 6-months-old (130 males and 100 females; mean age 52. The following features of dimples are associated with OSD. 3,. The y shaped gluteal cleft and a tuft of. Sacroiliitis can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs. . Code. 4% of the 5166 patients had abnormal spine ultrasounds, compared with the 4. Hyperglycemia, infection, toxic and ischemic insults have been implicated. In larger individuals the sacral prominence may not be palpable. 5% of 200. Y Shaped Bottom Cleft. A duplicated gluteal cleft associated with occult spinal dysraphism. In contrast, sacral dimples, pits, or sinuses present within the intergluteal cleft are common benign lesions thought to occur in between 2% and 4% of newborn babies. A step-by-step drawing of the surgical process. TheIn children, symptoms may include lesions, hairy patches, dimples, or fatty tumours on the lower back; foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. ”Simple sacral dimples or pits (solitary dimple, < 5mm in diameter, situated in the. Sacral Dimples Holly A. “High-risk” dimples are defined as those that are (1) deep; (2) larger than 0. Jun 18, 2023 at 1:42 PM. GLUTEAL CLEFTS Although the Nelson Textbook7 states that imaging requirement is considered “uncertain” for gluteal fold deviations, several experts have said that an asym- metrical or bifurcated gluteal cleft may be a fairly good harbinger of occult spinal dysraphism. There was a cold, fluctuant firm, skin covered, dusky coloured fleshy swelling over the sacral region just to the left of the midline with ill-defined finger-like projections/lobulated margins at its lower border (Fig. Zywicke et al. In contrast, sacral dimples that are deep and large (greater than 0. Figure 4. CrossRef Google Scholar Odili J, Gault D (2002) Laser depilation of the natal cleft—an aid to healing the pilonidal sinus. The 2024 edition of ICD-10-CM Q82. Tremors or spasms in the leg muscles. In patients with a sacral dimple, the location of the dim - J neurosurg Pediatr). Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. 종종 척수 이상의 단서일 수 있어 중요 해요!In contrast, for patients with a low-sacral dimple, flat hemangioma, and symmetric (Y-shaped) splaying of the intergluteal cleft, opinion on the need for imaging varied considerably (between 57%. 01 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. 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. a moment of education from surgication [Music] a sacral dimple classically is a little hole or a little pit at the very bottom of the spine it's a little bit of a misnomer because the sacral dimples that concern neurosurgeons are actually in the lumbar spine and are lumbar dimples rather than sacral dimples most sacral dimples are little indentations in the. 5cms from anal verge o Vascular lesion e. B. Most coccygeal dimples are located near the midline, within or just above the gluteal crease (within 2. , hemangiomas. , hemangiomas. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Deep dimples were noted in 1. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple)Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. Epub 2013 Aug 1. Median longitudinal scan of the sacral region showing the round shape of a coccyx soma (C) and the rectangular shape of the sacral somas. Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch , skin manifestations . “Midline lumbosacral skin lesions (e. My first has something a bit different - a 'forked gluteal cleft' (lol - it just means the crease of her bottom has a Y shape at the top). 89. 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. Pathology. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. 2 mm (SD 19) above the coccyx (p = 0. Tethered spinal cord syndrome may go undiagnosed until adulthood, when sensory and motor problems and loss of bowel and bladder control. It is a visible border separating ass into two parts. org. HandlerIndications 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. , deviated, split/duplicated) should prompt imaging regardless of the presence of a sacral dimple because of their rare association. 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. [Zywicke, 2011] Neural Tube Defects: [Zywicke, 2011] Open vs Closed 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. not associated with other cutaneous stigmata of spinal dysraphism (e. This topic will review the clinical manifestations, diagnosis, and management of closed spinal dysraphism. nervous system sacral dimples Pediatrics in. 8. 273 results found. including wattles, preauricular lesions, sacral sinuses, second branchial cleft anomalies, torticollis, and dermoid cysts. A sacral dimple is defined as a midline dimple less than 5 mm in diameter and no further than 2. Sacral dimples are very common—they’re present in 2-4% of newborns overall! Almost all neurosurgical referrals for suspected OSD in children <1yo are for evaluation of a dimple. Sacral dimples are more likely to be associated with OSD if they are above the gluteal cleft. In contrast, for patients with a low-sacral dimple, flat hemangioma, and symmetric (Y-shaped) splaying of the intergluteal cleft, opinion on the need for imaging varied considerably (between 57% and 89% recommended imaging). Pediatr Rev. 5 cm from the anal verge, dimples larger than 5 mm in diameter, or dimples associated with hair tuft, hemangioma, skin tag, or presence of sinus may indicate. She had no rashes. 5cm from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft,Had our first well check today and scheduled an ultrasound. This means that the butt crack will appear off-center. However, if the sacral dimple is deep and large, greater than 0. Pain or tingling the legs or back; Curvature of the spine ANSWER: SACRAL DIMPLE. 5 cm in diameter, and are not associated with any other cutaneous abnormalities (Figs. • Spinal skin dimples and other cutaneous markings located outside of the sacrococcygeal region are associated most often with closed neural tube defects or OSD. Download the BabyCentre app Opens a new window. Case 1. 5 cm) 4. They did an ultrasound of his booty & spine when he was like a week old. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment. Most sacral dimples are harmless. The doc looked at their butt cracks and my daughter's has a crooked crease right at the top. To date, the association with KS and closed NTD or tethered cord. 2). Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. features of sacral agenesis: narrow hips, hypoplastic gluteal muscles, shallow intergluteal cleft; mild foot deformities and gait abnormalities; Pathology. 1. It is the most common site of intra. Normal neurological examination. Doctors usually use ultrasound to find out if the dimple is. This robust bone can endure a. Boston Children’s Hospital. a 1. 2-7. The superior tip of the intergluteal. Loss of bladder or bowel control that gets worse. The Dr said its not attached & not to worry. Sacral dimples are benign lesions, overall, especially as a solitary finding with no associated skin stigmata, and as such do not require further imaging. 6 E. The frequency of the cleft chin varies widely among different populations. It is present by birth in babies. Evaluation for potential OSD usually. 5 cm of the anus), and do not have an associated cutaneous abnormality [4,5,6]. All simple dimples were within the gluteal crease and had a visible, skin-covered base; all were <5 mm in size. Stence, Todd C. Concerning findings warranting further work -up: dimples located superior to natal cleft or more than 2. Those with OSD had a mean dimple position of 15 mm (SD 11. . Single dimple. Sacral dimples. 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. I’ve noticed my baby has a Y shaped cleft on her bottom. Dysraphism results when the neural plate does not fuse completely in its lower section. It will not respond by adding volume with fillers or fat and the only. A sacral dimple is a small dimple or cleft at the base of the spinal cord. 5 cm from anus 2 (1) Othera 14 (9) aSee Appendix A for other physical examination findings. for Your PatientOur content is doctor approved evidence based, and our community is moderated, lively, and welcoming. It can be mistaken for other causes of low back pain. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Most of the abnormal findings in patients with sacral dimples were of no clinical significance. 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. A butterfly- shaped rash across your nose and cheekView article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. Isolated midline dimple was the most common indication for imaging. The typical V-shaped lobster-claw deformity of the feet in the same infant. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. A comprehensive review of 200 patients with spinal dysraphism found that 102 had a cutaneous sign. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. 4). com. <2. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. More than 86% of spinal dysraphisms are associated with overlying cutaneous stigmata []. 1111/apa. Sacral dimples show up in 1. 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. g. It is a Y-shaped fissure on. a dimple larger or deeper than 5 millimeters (mm) discoloration. Sacral dimples occur in the sacral area as small depressions or pits in the skin, most with a visible floor. Nate has a wonky "Y" shaped butt crack and his second/third toes are slightly syndactyl (sp?). A simple sacral dimple, defined as a midline dimple, within the gluteal cleft and without associated cutaneous abnormalities, is a common finding and considered to be a. Boston Children’s Hospital. 14. We would like to show you a description here but the site won’t allow us. 6 days). Weakness, numbness or problems with muscle function in the legs. Where is a gluteal cleft? There are several names for this area: natal cleft, gluteal crease, gluteal crevice. Incidence of FTF in patients with sacrococcygeal dimples. 3). Type 3 dimples are located far above the gluteal crease and are sometimes associated with pigmentation, lipoma, and deviated gluteal crease. Tabs. midline without visible drainage. 8. Musculoskeletal examination revealed active movement of all limbs. Spinal dysraphisms (SDs) are congenital malformations of the spinal cord, determined by derangement in the complex cascade of embryologic events involved in spinal development. [Wilson, 2016] Should be overlying the sacral bone or towards the gluteal cleft. Diagnosis. If the base could not be seen, this would be called a coccygeal pit. typically beginning cephalad to the gluteal cleft and extending. In my experience, I often find that people start having. (b) Normal comparison in a 31-day-old male with a sacral dimple. Duplicated gluteal crease. Those with OSD had a mean dimple position of 15 mm (SD 11. Sacral dimples are more likely to be associated with OSD if they are above the gluteal cleft. According to his. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules),. Most sacral dimples are harmless and don’t need treatment. Duplicated Gluteal cleft. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). A nurse rolls the patient over to see flaking skin, redness, and a sacral wound right above their gluteal cleft (just above the center of the buttocks area). A sacral dimple is found in the gluteal cleft, and you will need to separate the glutes to find it. A duplicated gluteal cleft associated with occult spinal dysraphism. The management of some types of lumbosacral vascular marks and gluteal crease deviations had poor agreement (< 70%). alwaysanxiousmum. What is the ICD-10 code for sacral dimple?. basically, the top of his bum crack makes a y shape when squished. A sacral dimple is a small indentation (dent) in the lower back, near the crease of the buttocks. 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. They’re caused by short ligaments connecting your pelvis to your skin, but they have no. nervous system sacral dimples Pediatrics in. This is a Y-shaped deformation on the chin with an underlying bony peculiarity. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Larger dimple size (>0. 5 cm, and falls within the superior portion or just above the gluteal cleft, and/or is associated with other cutaneous markers for neural tube defects, the infant is more likely to have an underlying neural tube defect. They may be associated with a tuft of hair. Has anyone had any expierence with this ?Lumbosacral dimples and coccygeal dimples (pit) of the midline spine are one of the most controversial areas in pediatric neurosurgery. 4. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Babies with congenital hip dislocation can also have asymmetrical gluteal folds. 5 cm, and falls within the superior portion or just above the gluteal cleft, and/or is associated with other cutaneous markers for neural tube. Simple solitaire sacral dimples in asymptomatic neonates consisting of a single midline dimple that measures less than 5 mm in. Hair can then enter the abscess cavity and provoke a foreign body tissue reaction. A duplicated gluteal cleft associated with occult spinal dysraphism. Figure 1 shows the number of patients within each of these groups who did and. 2, 3 If you have to split the glutei to see the dimple, then this is low-lying and less suspicious for dysraphism. worried for my 7 weeks old son. Lastly, in the presence of isolated sacral dimple, hypertrichosis, small hemangioma, and pigmentary nevus, which are linked to a very low risk of OSD, we propose only a clinical evaluation. I have read a post on here where a mama's baby did have a y shaped crack, sacral dimple and a tethered cord and the baby will have surgery at 6 months. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a. A sacral dimple is found in the gluteal cleft and you will need to separate the glutes to find it. Linear lesions in the intergluteal cleft are caused by moisture with or without a friction component and should be classified as intertriginous (between skin folds) dermatitis (inflammation of the skin). pilonidal cyst with abscess (L05. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. If a sacral dimple is paired with other symptoms such as bruising, tufts of hair or skin tags, it could be a sign of a spinal condition. A simple sacral dimple was defined as a dimple located in the midline, within the gluteal cleft, and within 2. 5 cm from the anus) 2. Distance < 2. Multiple dimples were encountered. Simple sacral dimples have the following features 1: <5 mm in diameter. The only significant finding in that area would be a sacral dimple that is deep and that might need investigating for a condition known as spina bifida occulta. 5 cm, and falls within the superior portion or just above the gluteal cleft, and/or is associated with other cutaneous markers for neural tube defects, the infant is more likely to have an underlying neural tube defect. Similarly, the authors found high agreement that simple coccygeal dimples do not need imaging. little man has a duplicated gluteal cleft. The upper angle is determined by the crossing of the bilateral. 6 - other international versions of ICD-10 Q82. If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. 5. Chin dimple. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Imaging 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. The y shaped gluteal cleft and a tuft of. horseshoe kidney, polyhydramnios, sacral dimple, VSD: MRI: CSF disorder: Enlarged cisterna magna (HP:0011427) Absent corpus callosum (HP:0001274) VSD, thickened. Otherwise, in the case of atypical sacral dimple, deviated gluteal cleft, or association of two specific cutaneous markers, we suggest to perform US. Most people associate the word sinus with the nose, but sinuses can occur anywhere in the body. Hypertrichosis. 1 Atypical Sacral Dimple: Not in midline, not in sacrococcygeal region, >5 mm deep, >2. 6 - Congenital sacral dimple. Access records and results, view and pay bills, request prescription renewals, and request appointments. The midline fuses while coming together from both sides during this phase of development. When imaging was recommended, there was preference for spinal MRI in most cases (67%). These mimics could be Benign sacral dimple or pilonidal sinus. The patient has an unusual sacral crease and sacral dimple. Epub 2013 Aug 1. In association with other OSD associated. 5%. 6 - Congenital sacral dimple. Sacral dimples that are accompanied by a nearby tuft of hair, skin tag or certain types of skin discoloration are sometimes. Corbett Wilkinson, Michael H. They are more common in people of German and Polish ethnicity. Spinal dysraphism is a group of diverse conditions that have variable imaging patterns. z. RESULTS. Pathology. Figure 4. Sometimes a Pilonidal contains hair and sometimes not. Tinea. A lump of the lower back. The y shaped cleft was still there and didn't go away as pediatrician hoped. The aim of this study was to determine the clinical. The sacrum consists of five fused sacral vertebral and costal segments (numbered one-to-five) that form a central sacral body and paired. 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. Nine papers addressing routine spine ultrasounds for children with sacral dimples showed that 3. They do not. The hip joint is the most stable joint in the body and is supported by a very strong capsule and several. 4). Follow your baby's amazing development. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 4. Subcutaneous lipomas. Q82. Other perianal infectionsGluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. However, complicated sacral dimples located more than 2. Simple dimples are defined as midline depressions in the dermis that are less than 5 mm in diameter and within 2. The 2022 edition of ICD-10-CM Q82. Remove the tibia and fibula. g. 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. Sacral Dimple. Dimple is less prominent. PMID:In contrast, for patients with a low-sacral dimple, flat hemangioma, and symmetric (Y-shaped) splaying of the intergluteal cleft, opinion on the need for imaging varied considerably (between 57%. 5%) of tethered cord, including 21 with thickened and fatty Fig. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. • 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. EPIQ 5G eL18 -4. Based on the information provided, a possible diagnosis for this child may be a sacral dimple or pilonidal dimple with associated neurogenic bladder. 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 GP said her development was totally normal and she didn't even have a sacral dimple, just the Y cleft and with the signs she wouldn't normally refer her on but would for us to put our minds at rest, that was at 9 weeks and it's taken this long to get an appt in because it's non urgent. If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. News & World ReportA sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. Advertisements. Flattening of buttocks and loss of gluteal cleft in a child with sacral agenesis. 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. In children, symptoms may include lesions, hairy patches, dimples, or fatty tumours on the lower back; foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. Open neural tube defects are lesions in which brain, spinal. Twenty-seven patients had a low-lying spinal cord, and only one patient was suspected of having a tethered cord. Her skin was warm, dry, and pink, with a 3. At times, it may be noted higher in the gluteal crease overlying the sacrum, but with skin. [Wu, 2020] Have been associated with Closed Neural Tube Defects. There was no difference in the rate of OSD based on dimple location. Showing 1-25: ICD-10-CM Diagnosis Code Q82. 초음파 검사가 늘어나고 MRI도 상대적으로. A dermal sinus tract is a rare neural tube defect and is located above the gluteal cleft. Some consider the term spina bifida occulta. 8% to 7. Location above the gluteal crease (typically >2. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. 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. Dimples that are deep, large (> 0. About 3 to 8 percent of the population has a sacral dimple. Learn about the causes and what these dimples mean. Nevertheless, in some practices, imaging is routinely obtained on neonates with simple sacral dimples and/or deviated gluteal clefts with the indication of “rule out tethered cord. 01 [convert to ICD-9-CM] Pilonidal cyst with abscess. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple) The vertical line starts from sacrum to the perineum. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. 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. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped). Samir Shureih MD. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. 5 cm above the anus) and solitary. Those with OSD had a mean dimple position of 15A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 2. People can discuss. @BekaRoo, you would think so but I guess they see so many babies each day that they probably see a lot of sacral dimples and don’t think to mention it unless it’s very obviously a concern. Its limits are (Fig. An approach to ultrasound investigation of sacral dimples is presented in . assymetric gluteal cleft - basically, a crooked butt crack . Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. Posted 06-23-17. A simple sacral dimple, defined as a midline dimple, within the gluteal cleft and without associated cutaneous abnormalities, is a common finding and considered to be a.