Home. nervous system sacral dimples Pediatrics in. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. The number and severity of symptoms associated with 22q11. 3 March 2011 111. 8% had deviated or duplicated gluteal creases, 15. BACKGROUND AND INCIDENCE. Applicable To. A duplicated gluteal cleft associated with occult spinal dysraphism. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. B. The first is due to the buttocks getting the least. This is the American ICD-10-CM version of P01. The estimated overall incidence of pilonidal disease is 26:100,000. Pediatricians have been comfortable with assessing as insignificant the common low-lying midline dimple or deviated gluteal folds found at the nursery or first well-infant examination. skin tags. 0. Q82. k. Aju1985. I’ve noticed my baby has a Y shaped cleft on her bottom. Similar. and E. Latest News. It is also called butt crack or ass crack. Methods. 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. 9 may differ. The manage-ment of a “dimple” alone, however, demands greaterThe most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). A step-by-step drawing of the surgical process. Cute vs. 0 may differ. Congenital branchial cleft anomaly. The buttocks can be the most susceptible place boils for two reasons. 8%. 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. They have no associated abnormalities (hairs, skin markings, etc. 5 cm above the anus) and solitary. 02). A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. Cleft of earlobe (left), earlobe duplication (middle), and skin tag on the back of the earlobe (right). They're congenital abnormalities ( birth defects) that form while a fetus develops in the uterus. The 2024 edition of ICD-10-CM Q36. 5 weeks old and is still yellow. 2 may differ. Hi moms! I am a FTM with 2 week old. there is a duplicated gluteal cleft; there is more with one dimple; the dimple liars outside the sacrococcygeal region; there are any neurological disease remember; The above may becoming associated with an underlying neurological problem, for example backbone dysraphism. R. Adapted from Pediatrics in Review. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. kdmahnke13. 5 cm from the anal verge, dimples larger than 5 mm in diameter, multiple. 02) and (2) deviated gluteal crease (P = . little man has a duplicated gluteal cleft. 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. Figure 1. Leopold, MD ; Edward S. 5 became effective on October 1, 2023. Created for people with ongoing healthcare needs but benefits everyone. 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, [1] so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. 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. 9 became effective on October 1, 2023. Subcutaneous lipomas. 6% had dimples, and 24. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. From icd10data. Re: Upper gluteal cleft (buttcrack) is bleeding. 821A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Apr 24, 2016 at 7:40 PM. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Only $35. Figure 4. 6 may differ. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Physical examination findings that prompted a spinal ultrasound included isolated deep sacral dimple (34%); deep sacral dimple in association with other. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. May 6, 2021 at 5:44 AM. 155 Other ear, nose, mouth and throat diagnoses with cc. Ems0. Fetal macrosomia, one of most important fetal growth disorders, is defined as “a weight at birth higher than the 90 th. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. In person evaluation is needed. The hip joint is the most stable joint in the body and is supported by a very strong capsule and several. k. Bilious vomiting can indicate bowel obstruction, with the greatest concern being malrotation/volvulus Assess for distension. @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. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. 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. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Minimize friction—dry the skin by patting, not rubbing, keeping in mind that friction is one of the causes. Q82. 5 became effective on October 1, 2023. 1. Overview. George Karydakis in 1973. Spinal dysraphism encompasses congenital problems that result in an abnormal bony formation of the spine and/or the spinal cord. Q36. 6% had dimples, and 24. 18 Although it has long been recognized that midline uncomplicated dimples located within the gluteal crease (so-called coccygeal pits) are unlikely to be associated with a tethering lesion, Gomi. There are many approaches to examining a newborn, many of which are acceptable. In every method, the most important aspect is keeping the order of. , aperta (open) if the. 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. She denied fever, chills, weakness, fatigue. Fully searchable through Find-A-Code's Comprehensive Search. little man has a duplicated gluteal cleft. Expand all. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). This could be a sign of a spinal cord tether, spinabifida etc. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. 2 deletion. Should we be worried? Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Perianal tinea is uncommon. Small but visible concentration of coccygeal hair. Here are some of the things I have tried myself at different times as decided by myself and my girlfriend: Sudocrem every night. Posted 06-05-18. Hi mamas. Figure 4. basically, the top of his bum crack makes a y shape…ICD-10-CM Diagnosis Code M76. 24. A dorsal view of die same infant shows the asymmetric gluteal folds and odier skin folds. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. Newborns who became symptomatic were further evaluated and/or treated with antibiotics. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . The hub of the catheter was secured in the , and the patient's features of sepsis improved over. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. The 2024 edition of ICD-10-CM Q82. 6 - Congenital sacral dimple. There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks. 2 became effective on October 1, 2023. Dec 1, 2018 at 7:24 PM. They are not harmful to one’s health and do not necessitate. Non-duplicate identified articles were independently reviewed by two authors (J. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Pilonidal disease is an infection under the skin in the gluteal cleft. 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). 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. 8 became effective on. The cystic mass extended into a dilation of the central canal due to. 2. This is the American ICD-10-CM version of Q82. We present an unusual case of verrucous porokera-External characteristics of the parapagus dicephalus. An infant has just been born with a cleft lip and palate. Gluteal cleft. 0 may differ. So, Ortolani-Barlow – not a great test for picking up DDH – in that a normal test doesn’t rule. Congenital sacral dimple. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation,Had our first well check today and scheduled an ultrasound. Q82. Of 1096 infants included in the study, 24. 419 - other international versions of ICD-10 M67. deviated or duplicate cleft) 9 What to do with sacral dimples? Simple Sacral Dimple (all 3 criteria must be met) • No more than 2. Findings present in 11% of healthy newborns are unlikely to be useful markers for a rare condition like OSD (estimated incidence 0. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). I’ve noticed my baby has a Y shaped cleft on her bottom. View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Open the PDF for in another window Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch , skin manifestations Sacral dimples. Page 1 and 2: March 13 th 2012; Page 4 and 5: • Vitals: 36. 8%. Unilateral Incomplete cleft lip 749. Histology showed a benign intradermal naevus. Pediatr Rev. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. (1) (2) These defects, which result from abnormal fusion of the neural tube during embryonic development, are placed into two broad categories: open and closed. The overall frequency of each physical. The aim of this article was to summarize results of the consensus sessions that occurred. 8%. Q82. A duplicated gluteal cleft associated with occult spinal dysraphism. Each referred participant was risk stratified based on specific physical exam findings. Screening for spinal dysraphisms in newborns with sacral dimples (2016) A. With thousands of award-winning articles and. 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A -5% duplicated gluteal cleft . It is a common skin condition affecting opposing cutaneous or muco-cutaneous surfaces. Q63. 1a,b). 6% (in Turkey). Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. Pathology showed squamous cell carcinoma with tumor-free margins, and further imaging showed no evidence of. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Germolene. Had our first well check today and a scheduled ultrasound. The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with. 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. A deviated or duplicated gluteal cleft should raise concern for OSD, whether or not a dimple is present. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. @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. Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch ,. Applicable To. a birthmark in the area. This is the American ICD-10-CM version of P92. #asymmetricskinfolds #anatomynote #glutealskinfolds #skinfolds #shorts #youtubeshorts☠️ DONT CLICK THIS: support our Odysee chan. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. kdmahnke13. Pediatric ENT and Head and Neck Surgery 42 years experience. Change diapers promptly after voiding or soiling. This is the American ICD-10-CM version of Q82. Cranial nerves grossly intact. 8% had deviated or duplicated gluteal creases, 15. 5 cm above the anus) and solitary. 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 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. Is composed mainly of collagen fibres, it is strong enough to support the sacrum. If this happens, no feedings should be given until the newborn has been examined. teal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant fur-ther evaluation. 5 cm from anus • Less than 5 mm diameter • Localized in gluteal cleftThe initial examination within the first 24 hours of birth is critical in determining newborn patients' general well-being and identifying any red flags that may warrant further evaluation. The two major types of spinal dysraphism are based on the appearance, i. The health care provider is busy examining the newborn, but the mother is obviously aware that something is not right. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. (1) (2) These defects, which result from abnormal. Figure 3. b Lateral overview showing oblique positioning of the heads. Fig. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 2, 3 Abnormal antenatal US scan of spinal column 4. Cleft palate, unspecified. Feb 4, 2023 at 3:55 PM. They may be associated with a tuft of hair. Similar. 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. basically, the top of his bum crack makes a y shape…P54. With thousands of award-winning articles and community groups, you can track your. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. 2, 3 It is most commonly encountered in young men in their 20s and 30s, although women can also be affected. Q82. 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. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. Sacral Dimple - Causes, Newborn, Adults, Ultrasound & Management. A. 4). Coccygeal pits are distinctly different from dermal sinuses and may occur at rates as high as 4% in the general population. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. They are a rare type of ear deformities. 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). 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Then, the surgical wound is closed by rotating other tissue to cover the area. e. Similar. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. 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. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules),. The 2024 edition of ICD-10-CM Q92. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. 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. little man has a duplicated gluteal cleft. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. g. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). 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. 2 is grouped within Diagnostic Related Group (s) (MS-DRG v41. This is the American ICD-10-CM version of Q35. 1% (in Germany) to as high as 6. On follow-up 1 month later, a relatively good cosmetic outcome was noted, with a mild standing cone in the upper gluteal cleft. This causes a number of eating and breathing problems. 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. 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). Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. 8. Usually occur in combination of other masses, e. 6% had dimples, and 24. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. Jan 14, 2019 at 9:16 PM. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). 9 - other international versions of ICD-10 Q35. M67. 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. This is not noticed when your child has on clothing. May 2020; Hospital Pediatrics 10(6)The cutaneous areas along the gluteal cleft and sulcus were likely to be supplied by 3 routes: 1) the internal pudendal artery (IPA), especially its first cutaneous branch; 2) perforators running through the gluteus maximus muscle and arising from the inferior gluteal artery (IGA); and 3) a non-perforator running around and inferior to the. Our study found that cutaneous lumbosacral findings are more common in well newborns than previously reported. rare skin condition that has distinct clinical and histologic features. nervous system sacral dimples Pediatrics in Review Vol. A laryngeal cleft (or laryngotracheal cleft) is an abnormal opening between the larynx and the esophagus through which food and liquid can pass through the larynx into the lungs. This is the American ICD-10-CM version of P01. A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. 8 - other international versions of ICD-10 Q63. [email protected] uvula. Figure 4. basically, the top of his bum crack makes a y shape…15 result found: ICD-10-CM Diagnosis Code M76. 1. This baby’s gluteal creases are uneven (note yellow lines). Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Pediatric ENT and Head and Neck Surgery 42 years experience. 1. If the base could not be seen, this would be called a coccygeal pit. Sacral Dimple. One infant had urodynamics studies and a tethered cord release. little man has a duplicated gluteal cleft. findings (hypertrichosis, haemangioma, caudal appendage, deviated gluteal fold, discharging sinus, etc) > 5mm in diameter, situated above the natal cleft or > 25mm from anus. Telephone. Open neural tube defects are lesions in which brain, spinal. 8% had deviated or duplicated gluteal creases, 15. Lesions at these sites may lose their classic morphology, presenting instead as erythematous lesions with poorly defined borders and lichenification (Wagner et al. Created for people with ongoing healthcare needs but benefits everyone. Personal history of (corrected) cleft lip and palate. Moisturiser every night. 2, 3 It is most commonly encountered in young men in their 20s and 30s, although women can also be affected. 8 - other international versions of ICD-10 Q63. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. 5 cm above the anus) and solitary. 34 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. D. Flashcards. A duplicated gluteal cleft associated with occult spinal dysraphism. Q82. 5 cm above the anus) and. 6 Therefore, we could consider these patients low risk for having OSD. basically, the top of his bum crack makes a y. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. A presumptive diagnosis was made of psoriasis, and the patient was given Elocon cream (Mometasone. During colonoscopy, evidence of. 1. Posted 06-24-17. . 5 should be used on the newborn record - not on the maternal record. 12 Q36. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. 8 may differ. Off-midline closure procedures such as the Karydakis flap and the Bascom cleft lift , which remove the pilonidal disease, flatten the gluteal cleft, and bring the incision off the midline. I’m emailing her doctor, but wondering if anyone else has noticed the same or experienced something like this??There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks. A lump of the lower back. Methods. 96. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Gluteal region by ritika. A pilonidal cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. 0 Central cleft lip 749. My newborn is 3. A 71-year-old woman with no relevant medical history presented with recurrent painful erosions on the gingivae and gluteal cleft of 1 year’s duration. 1 The underlying cause of pilonidal disease is. 8 - other international versions of ICD-10 Q82. 32 No. Applicable To. A newborn boy was noted to have a high-lying pit above the natal cleft with surrounding hair (fig 1). Expand all. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. 2-7. The 2024 edition of ICD-10-CM Q35. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. To assess the clinical and economic consequences of different diagnostic strategies in newborns with suspected occult spinal dysraphism. Attempted resection of a bicornuate uterus "septum". Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. The gluteal cleft refers to the separation of the buttocks. A total of 34 (24%) patients had an abnormal spinal US; 15 (44%. Setting: Community private practice with extensive. 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. Gluteal tendinitis; Gluteal tendonitis. Finally. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. P13. 1 The codes do not provide for coding right/left laterality. Congratulations on your new baby. Q82. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 became effective on October 1, 2023. Sign up. Anusol suppositories. A newborn physical exam routinely includes checking for a sacral dimple while your newborn is still in the hospital. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Karydakis’ work from the 1970s to treat Pilonidal Disease with surgery, Dr. 730 became effective on October 1, 2023. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Prevention. Feb 4, 2023 at 3:55 PM. This means that the butt crack will appear off-center. Y shaped gluteal cleft. Gluteal cleft is the vertical partition which separates buttocks. They may be associated with a tuft of hair. Expert solutions. 5 cm.