22 - other international versions of ICD-10 P08. What causes asymmetric gluteal cleft? The asymmetric gluteal cleft may also associated with a condition named hip dysplasia. Introduction. A lump of the lower back. 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Lower back- cutaneous signs of occult spinal dysraphism, asymmetrical gluteal cleft, lipoma, presacral dimple, hair patch, Neuro- gait, lower extremity strength, fine motor coordination. Code. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. Acral localized acquired cutis laxa as presenting sign of underlying systemic amyloidosis. 2-7. Hydrocolpos 7. 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. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " 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. CONCLUSION. S30. 5 may differ. 8. Menu. Karydakis used an asymmetric excision and primary . 1 Patient 1: Mul-tiple capillary haeman-giomas in the lumbosa-cral area. b Sagittal T1-weighted MRI at 67 days of age showing a terminal intraspinal lipoma (lower white arrow) communicating with the dorsal subcutaneous fat via a lower sacral posterior dysraphic defect (black arrow). y shaped butt crack. Gluteal tendinopathy is a common cause of hip pain, especially in older women. S31. Laterality will need to be indicated another way. Asymmetric gluteal cleft: Dermal sinus tract: Hypertrichosis: Hemangiomas: Deep dimples and pits: Midline mass: Pigmented nevus: Port wine stain: Sacral dimples: Skin tags: Subcutaneous lipoma: Telangiectasias: Open in a separate window. The true incidence of occult spinal dysraphism is unknown, but the incidence is increasing since the advent of MR imaging. If the base could not be seen, this would be called a coccygeal pit. Clinically undetermined. Asymmetric gluteal cleft. 2-7. #asymmetricskinfolds #anatomynote #glutealskinfolds #skinfolds #shorts #youtubeshorts☠️ DONT CLICK THIS: support our Odysee chan. Based on your photo, it looks like it could be improved with surgery. 4 - other international versions of ICD-10 L30. A clearly visible unruptured thoracic meningocele, thoracolumbar myelomeningocele, and. 121 - other international versions of ICD-10 M85. This is the American ICD-10-CM version of M26. 1 We present an unusual case of verrucous porokeratosis presenting as a unilateral single. The gluteal cleft is an anatomical characteristic found in both males and females. 12 Q36. Pediatr Rev. 156 Other ear, nose, mouth and throat diagnoses without cc/mcc. In more serious cases, the symptoms of dead butt syndrome can cause pain and stiffness elsewhere. Pathology showed squamous cell carcinoma with tumor-free margins, and further imaging showed no evidence of. Uroflow curve patterns. Ahn, Molly J. (1) (2) These defects, which result from abnormal fusion of the neural tube during embryonic. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. Occult spinal dysraphism in the newborn period may be suggested by a sacral defect or a cutaneous abnormality over the sacrum such as a skin dimple, tuft of hair, skin tag, lipoma, vascular malformation, or asymmetric gluteal cleft. The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. Longitudinal grayscale ultrasound image shows a thickened, echogenic filum terminale (black arrow). Thanks, Angela Thomas, CPC. 0 Central cleft lip 749. Erythema intertrigo. It is also known by other more complicated names, such as gluteal senile dermatosis or hyperkeratotic lichenified skin lesion of the gluteal region. Psoriasis can affect the gluteal cleft. Gluteal Asymmetry And Newborn Last Updated on Sat, 03 Jun 2023 | Newborns Figure 1. Skeletal fluorosis, right upper arm. Small area of atrophic skin and cuta-neous appendage. Gluteal asymmetry: CM ends at L2-3: Not performed: None: Male/11. 4). 12 Q36. 9 - other international versions of ICD-10 Q35. asymmetric or atrophic labia majora Absent labia minora Vaginal duplication or atresia Uterine cavity duplication Undescended testis(es)Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. Postoperative wound-healing infections were described in 8. A small ellipse of posterior thigh and inferior gluteal tissue approximately 3-1/2" long will allow access to place permanent sutures from the SFS to the ischial tuberosity (from the fat below the skin to the bones at the. for cutaneous lesions or an asymmetric gluteal cleft, which could suggest spinal dys-raphism, a variant of spina bifida. ”. This was the first year ICD-10-CM was implemented into the HIPAA code set. 411A may differ. Congenital mesoblastic nephroma (MC solid renal tumor in neonates) 8. 01 became effective on October 1, 2023. They are not harmful to one’s health and do not necessitate. 5). 8. 121 may differ. Hair can then enter the abscess cavity and provoke a foreign body tissue reaction. The medullary conus. tenderness. 1). The fat was injected with a 4 mm angled basket cannula attached to a power-assisted handpiece (Microaire Surgical. The condition, which has an annual. However, if the sacral dimple is deep and large, greater than 0. This is the American ICD-10-CM version of Q82. They are not harmful to one’s health and do not necessitate. May. Neurological examination may show motor weakness, a sensory deficit in the lower. Gluteal cleft deviation, although seemingly specific, contains a spectrum of definition ranging from minimal physiologic asymmetry to significant deviation with associated asymmetric glutes . Q82. Perianal tinea is uncommon. 412A may differ. • Spine – look for dimples, tufts, asymmetric gluteal cleft (underlying spinal cord problem) Investigations • If history and physical exam are completely reassuring, low pretest probability for urinalysis and potential for false positive • Judicious use of. I noticed that my LO’s buttcrack slightly curves at the top. 1. In very mild cases, such as isolated. The 2024 edition of ICD-10-CM S31. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT: Male/0. 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. Symptoms are usually minimal, but mild to severe itching may occur. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. The patient was born at 40 weeks and 1 day of gestation to a 21-year-old gravida 2 now para 2 mother by vaginal delivery. You Selected: asymmetric gluteal folds Correct response: asymmetric gluteal folds. Multiple factors contribute, including genetics. Supplementing this, MRI offers an in-depth exploration of these conditions, aiding in preoperative. Common conditions on the differential diagnosis for plaque psoriasis include atopic dermatitis, nummular dermatitis, lichen. D. Spinal sonography showed a subcutaneous echogenic mass in. Ems0. Keep the area clean, wash it gently with mild soap, and pat it dry. Single dimple. I can’t help but worry!!!0. In contrast, a number of other findings (Fig. the right of the gluteal cleft. 0 Bilateral Incomplete cleft lip 749. Babies with congenital hip dislocation can also have asymmetrical gluteal folds. Fig. Perianal tinea is uncommon. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. appendage or asymmetric gluteal cleft should be investigated radiographically with ultrasound or MRI for underlying spinal cord abnormalities like spinal dysraphism and spinal cord tethering¹, even in cases without neurological symptoms. A step-by-step drawing of the surgical process. Categories Z00-Z99 are provided for. tenderness. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Of patients undergoing screening for OSD as part of cutaneous stigmata identification, up to 8% had asymmetric gluteal cleft deviation and 7%. Treatment options are extensive but most often include incision and drainage with. 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. The superior gluteal nerve is found in the lower pelvis and arises from the dorsal divisions of the L4, L5, and S1 nerve roots of the sacral plexus. 9 became effective on October 1, 2023. This inflammatory condition may be found in several areas on the body; this article reviews disease affecting the gluteal cleft, how to identify the condition, initial treatment, and when to consider surgical intervention for definitive care. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. Fig. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. Gluteal cleft. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. F. It is also called butt crack or ass crack. ADPKD 4. Patients with myelomeningocele are categorized based on the spinal segment affected. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Leopold, Edward S. S30. Asymmetrical gluteal creases may be a sign of unilateral hip dysplasia. Applicable To. FIG. There is a tethered cord as evidenced by termination of the conus. 1 The incidence of spinal dysraphism is 0. 2A, 2B, and 2C). Atrophy of paraspinal muscles is common in LBP (15A). 1 – 6 These clinics allow for coordination of care and complex decision making amongst providers caring for patients with open spina bifida. Of patients undergoing screening for OSD as part of cutaneous stigmata identification, up to 8% had asymmetric gluteal cleft deviation and 7% presented. Manifestations of occult spinal dysraphism Cutaneous stigmata Orthopedic deformities Urologic problems Asymmetric gluteal cleft Foot or leg deformities Neurogenic bladder Capillary. Congenital cleft nose anomaly. 79. Hard to tell from pic though. In July 2023 Babies. 8. 121 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It has been estimated that atrophy of the paraspinal muscles occurs in 20%-60% of people suffering with chronic lower back pain. 04%, they are likely too common to be considered high risk. Asymmetric gluteal cleft Dermal sinus tract Hypertrichosis Hemangiomas Deep dimples and pits Midline mass Pigmented nevus Port wine stain Sacral dimples Skin tags Subcutaneous lipoma Telangiectasias TABLE 1: Cutaneous markers of spinal dysraphism Ultrasound (US) is the first-line imaging modality to screen for pediatric. Pediatrics. On the opposite side of the natal cleft, an asymmetric island of skin is marked with an indelible marker as the island of skin intended to be removed. slight right-sided scapular elevation c. A full thickness skin flap is mobilized across the gluteal cleft to create an off-midline closure (Fig. 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. These lesions include a subcutaneous mass, dermal vascular malformation, hypertrichosis, a midline dimple or sinus tract, a skin tag or an asymmetric gluteal cleft. 11 became effective on October 1, 2023. the region of the cauda equina with extension to the spinal. 89 - other international versions of ICD-10 Q65. has demonstrated the high failure rate of the excisional procedures . 22 may differ. Leopold KN 1, Ahn ES 2, Youssef MJ 1, Gregory SW 1. Posted 05-18-14. Has anyone had any expierence with this ?These include unequal size of the buttocks, an asymmetric gluteal cleft, a palpable vertebral defect, and anorectal malformations such as imperforate anus and cloacal exstrophy. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. z. Thigh folds that are asymmetrical rarely indicate hip dysplasia unless they are associated with uneven gluteal creases. The patient was born at 40 weeks and 1 day of gestation to a 21-year-old gravida 2 now para 2 mother by vaginal delivery. Failure of the neural tube to close during the first 30 days of foetal development. 1. 5–0. The dermofat graft is harvested with a fusiform shape from the infra-gluteal fold or inguinal region. 810A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Asymmetric or malformed Gluteal cleft. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. I can only remember one appointment where his pediatrician flipped him ion his belly and examined his back but I was giving him a bath and when I picked him up I happened to look in the mirror and notice his butt crack is crooked. Department of Neurologic Surgery. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. a birthmark in the area. Supplementing this, MRI offers an in-depth exploration of these conditions, aiding in preoperative. Asymmetrical gluteal folds. The gluteal cleft and the gluteal fold both occur normally in humans. Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Male/8. Urinalysis is performed to assess specific My doctor has been writting in a diagnosis of "Asymmetrical Gluteal Crease" on some of our babies. Lumbar spine XR was obtained in the office, which revealed incidental occult spina bifida at the L5 level (Figure 1). 41 - other international versions of ICD-10 Z89. 5% of patients and. This is the American ICD-10-CM version of Q65. XR and MRI confirmed the diagnosis of L5 spina bifida occulta. 4). 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef MJ, Wieland CN. 8 - other international versions of ICD-10 Q30. Ultrasound within the first 3 months of the infant’s life can easily visualize the intraspinal space. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). The modified Bascom technique was applied, which involved an asymmetric ellipse-like, gluteal fat–preserving excision of the affected skin, the pilonidal sinus, and lateral tracts, a thick skin. Any central cutaneous abnormalities overlying the spine, such as a sacral dimple, gluteal cleft, lipoma or hair tuft, should prompt further investigation to rule out occult spinal cord anomalies such as tethered cord, diastematomyelia and other lumbosacral defects. Citation, DOI, disclosures and article data. al disease. zoemcr. Asymmetric gluteal cleft Dermal sinus tract Hypertrichosis Hemangiomas Deep dimples and pits Midline mass Pigmented nevus Port wine stain Sacral dimples Skin tags Subcutaneous lipoma Telangiectasias TABLE 1: Cutaneous markers of spinal dysraphism Ultrasound (US) is the first-line imaging modality to screen for pediatric. Small area of atrophic skin and cuta-neous appendage. , hemangiomas. Congenital sacral dimple. Asymmetrical gluteal creases may be a sign of unilateral hip dysplasia. Thigh folds that are asymmetrical rarely indicate hip dysplasia unless they are associated with uneven gluteal creases. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 14 Q36. 5 became effective on October 1, 2023. Most sacral dimples are harmless and don't need treatment. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. Tinea cruris is usually due to T. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Asymmetric gluteal cleft or cutaneous marker of spinal dysraphism: 4: Changes in lower-extremity function, gait, or reflexes: 12: Headache or emesis: 3: Two MRI studies were conducted for 2 clinical concerns. The gluteal crease was asymmetrical due to a subcutaneous mass. It is the deep furrow or groove that lies. • Present images to Radiologist REFERENCES: Siegel, Marilyn, (2002). #2. Study with Quizlet and memorize flashcards containing terms like Weigert Meyer Law?, 1. 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. This is the American ICD-10-CM version of S31. ANNP/Paed Symmetry of arm movement; if asymmetric, check Moro reflex Skin tags/ accessory digits/polydactyly 2-3 toe Syndactyly does not need referral, and neither. Pathology confirmed. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. 120 Q36. stain, skin appendage, or asymmetric gluteal cleft should be investigated radiographically with ultrasound or MRI for underlying spinal cord abnormalities such as spinal dysra-phism and spinal cord tethering,1 even in cases without neurologic symptoms. Urinary and bowel dysfunction are nearly universal. A 1-day-old girl is seen for routine care in the newborn nursery. Pilonidal disease, although relatively common, often is not appropriately recognized and treated. a fatty lump. 421 - other international versions of ICD-10 M67. 9 Bilateral Complete cleft lip 749. Messages 2,335 Location ENGLEWOOD/DENVER Best answers 0. These lesions often signify an. The source of disease is not the deep tissue but rather the epidermis in the moist, hypoxic, and bacteria-laden gluteal cleft. ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. Dimple is oriented straight down (i. 9 became effective on October 1, 2023. The purpose of this study was to analyze unusual and. Pediatric Sonography. 22 became effective on October 1, 2023. The patient had an asymmetric gluteal cleft and coronal hypospadias. , hemangiomas /vascular malformations, hyrpertrichosis. Single Codes *Texas uses this code for any cleft. asymmetrical gluteal cleft and a port wine stain on the right buttock. This is the American ICD-10-CM version of M85. Department of Pediatric and Adolescent Medicine. Replace diaper Hips Barlow - adduct hip bringing toward midline. Pediatr Rev. 2011 Mar;32 (3):109-13. metaDescription()}}Anus Assess patency by using one hand to hold the legs and the other to gently spread apart the gluteal cleft. No secondary cranial findings are detectable thus the prenatal diagnosis is hard and in such cases is a challenge (Coleman, Langer, & Horii, 2014). At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. J Cutan Pathol. Depending on the type of incontinence, the management strategies can include behavioral, pharmacologic, and/or surgical approaches. The 2024 edition of ICD-10-CM Q65. 41 may differ. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Stumbling or changes in gait or walking. Jul 9, 2009. . October 22, 2023 | by Athaxton312. 91 - other international versions of ICD-10 L05. Patient 3 (J. Tinea cruris is usually due to T. Sacral dimples can be “typical” or “atypical”. if this is the case you could use the screening dislocation of hips V82. Q82. 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. Patients with spina bifida often manifest with storage or emptying bladder abnormalities. No secondary cranial findings are detectable thus the prenatal diagnosis is hard and in such cases is a challenge (Coleman, Langer, & Horii, 2014). Spinal dysraphism is a group of diverse conditions that have variable imaging patterns. Asymmetrical adduction of the affected hip when placed supine, with the knees and hips flexed 4. Tinea. With that (lack) of sensitivity, there has to be a better way… In "General Surgery". There was no dermal sinus, tuft of hair, or club foot. 2024 ICD-10-CM Range M00-M99. Abb. 810A - other international versions of ICD-10 S30. A neonate Caucasian girl, a product of an uncomplicated pregnancy, was found to have asymmetric gluteal crease. Prenatal diagnosis. 1). code 763. Cranial defects include anencephaly, exencephaly, and encephalocele. It may present as an acute pilonidal abscess with pain, erythema, and induration or as a pilonidal sinus, which is an indolent wound that is resistant to spontaneous healing, and can cause significant discomfort and drainage. Chung KH, Lo LJ. The cleft and peri-anal skin is intact. Aim was to create an asymmetrical thick flap across intergluteal cleft to make cleft shallow and away from midline. Neurologically, she was alert but could not. and an asymmetrical gluteal cleft (l " Fig. generally speaking, scoliosis can cause asymmetry of back and buttocks. Spine ultrasound at 1 day of age showed a cystic mass overlying the conofilar junction at the L3 level measuring 12 × 5 × 5 mm (Fig. Download : Download full-size image; Download : Download full-size image; Figure 2. 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. Gregory; Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal. 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. Code Tree. 13 Q36. Four patients were asymptomatic and diagnosed as a part of imaging for other reasons, including sacral dimple, asymmetrical gluteal cleft, and presence of other congenital anomalies like multiple segmentation and fusion vertebral anomalies. 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. ICD-10-CM Diagnosis Code M76. Sacral Dimple. The 2024 edition of ICD-10-CM Z89. The. This joint frequently exhibits intense asymmetric focal FDG uptake that is considered a nonspecific finding and usually reflects the presence of active inflammation or degenerative arthrosis (Figs. 8 became effective on October 1, 2023. Nail psoriasis, psoriatic lesions in the gluteal cleft and on the scalp usually accompany PsA, especially in adult men [5, 6]. 411A - other international versions of ICD-10 S90. 91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. I mentioned it to the doctor when she. The vertical line starts from sacrum to the perineum. The gluteal cleft is uneven in the asymmetric gluteal cleft condition. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Use an absorbent diaper and wrap it. To check the problem behind asymmetry ultrasound and x-ray test are performed. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. split; divided; a crack or crevice; an indentation between two parts, as of the chin Not to be confused with: clef –. See also[edit] Gluteal asymmetry: CM ends at L2-3: Not performed: None: Male/11. Of the 16 patients not toilet trained at last follow-up, 10 were younger than 3 years of age, and 6. These lesions often signify an underlying bony and/or spinal cord malformation. 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. Action. The 2024 edition of ICD-10-CM M85. This is the American ICD-10-CM version of Q30. 8. Most infants have no other manifestation of this disease (other than the cutaneous lesion) but the neurologic lesion progress with advancing age. 9 is the only thing I can come up with and I am afraid that is to broad for insurance to pay. An inconspicious examination does not need a further imaging, but suspicious results of sonography need an MR imaging dependent of clinical conditions. which asymmetrical ellipse of skin including all pilonidal sini was removed from the most affected side of the inter- gluteal cleft while sparing subcutaneous fat. generally speaking, scoliosis can cause asymmetry of back and buttocks. The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. The 2024 edition of ICD-10-CM Q30. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. Full range of motion in the affected hip 2. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation. If an individual has this condition, it can be corrected surgically depending on the severity. 1. METHODS: Among the 72 male military service patients (median age,. 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. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. It can vary significantly from one person to another.