• Perineum. It’s a type of psoriasis that appears in areas where your skin rubs against itself (skin folds), including: Armpits (axilla). The gluteal region includes the rounded, posterior buttocks and. A Sciatic nerve disorder. Gluteal Fold/Gluteal Cleft Women's Plus Size V-Nec. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. 5. (Case 1) had a hemangioma and deviated gluteal folds, and he also had FTF. This is not noticed when your child has on clothing. The disorder causes the tendon tissue to break down or deteriorate. Psoriasis is a common scaly skin condition resulting in red scaly and thickened patches of skin. Pilonidal disease is a reaction to hair in the gluteal cleft, in which unattached hairs injure or pierce the skin, resulting in a foreign body reaction. A posterior view of the deep gluteal muscles, with a resected gluteus medius, and intact gluteus minimus and deep gluteal muscles. The rash presents as bright red, well-defined symmetrical plaques which are typically without the silvery white scale which may be seen at other sites, such as the scalp, trunk, periumbilical area, and extensor surfaces. 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. This procedure detaches the skin of the gluteal cleft from the underlying subcutaneous tissue as a flap. gluteal cleft synonyms: gluteal. Belly button (navel). Includes the gluteus maximus, gluteus medius, gluteus minimus and tensor fascia lata. The gluteal fold flap was reported as “lotus petal flap” by Yii and Niranjan. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. With the gluteal tissue mainly supplied by the direct cutaneous perforators from the internal pudendal artery, it is now the flap of choice for vulvar reconstruction. This is the American ICD-10-CM version of L03. 1 Tensor fasciae latae. Groin. 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A the right of the gluteal cleft. Deep lateral rotators – group of smaller muscles that mainly act to laterally rotate. The histology is reproducible on each occasion. Deep gluteal syndrome is pain and numbness you feel in your buttocks (bottom) that can sometimes go down the back of your leg. 4%] of 14; Cases 1, 4, and 14 [Table 1]) were somewhat more likely to have abnormal gluteal folds than those without FTF (3 [4. 320 became effective on October 1, 2023. 1 Given the low incidence rate of OSD at 0. Study with Quizlet and memorize flashcards containing terms like The gluteal region is the transitional area between the trunk and the lower extremity. Superior gluteal artery. Under the breasts. It advances posteriorly to pierce the pelvic fascia between the lumbosacral trunk and the first sacral nerve root (S1). , a bulky skin fold along the upper edge of the gluteal sulcus), and route 3, just along the gluteal sulcus. R29. 1). swelling in the area. 7% in the general population, more commonly affecting males (male to female ratio: 4:1) between the ages of 15 and 38 years [1-4]. Pain. doi: 10. On exam, he had an 8 cm x 2. Histology showed a benign intradermal naevus. Medially, the region extends to the mid. Bockhart's impetigo. MDC 09 Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast. Z79. 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. Less than 300 cases have been described in the entire world medical literature. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. 1016/j. 1% (in Germany) to as high as 6. 0. tenderness. Fat stranding on CT often indicates an inflammatory process. The depth of the acetabulum is increased by a triangular fibrocartilage structure called the labrum that attaches along its outer rim. Pus or blood leaking from an opening in the skin. Deviated gluteal fold . With an overall success rate of 96. The perineum is separated from the pelvic cavity superiorly by the pelvic floor. 2-7. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. It covers the area from iliac crest from above to the gluteal fold below. Challenges in classification of gluteal cleft and buttocks wounds: consensus session reports. it is important to identify the cause of lesions as the treatment and management of pressure ulcers and moisture lesions differ. The gap between the larynx and the esophagus is located above the. 320 - other international versions of ICD-10 L89. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. Definition The gluteal fold is the term used to describe the horizontal skin crease that forms below the buttocks, separating the upper thigh from the buttocks. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. 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. Includes the gluteus maximus, gluteus medius, gluteus minimus and tensor fascia lata. J Pediatr. Your symptoms might include. The rotating of tissue causes the gluteal cleft to shift. The muscle is primarily responsible for the extension of the trunk from a forward bending position and extension of the hip from sitting to standing and during stair climbing. 3%] of 70; p = 0. 2. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. The patient will experience a tender and red skin lump on either side of the cleft region, and this corresponds to an abscess. Gluteal region The transitional area between the trunk and the lower extremity. Routine screening tests to detect problems that cannot be seen during the physical. Describe the difference between male and female pelvis. Superior and inferior gluteal arteries branch from internal iliac superior and inferior arteries to piriformis approximately 5 cm from medial edge of origin of gluteus maximus from. contents of greater sciatic notch include. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum , at the level of the anus. 2, 3 Abnormal antenatal US scan of spinal column 4. The disorder causes the tendon tissue to break down or deteriorate. They have no associated abnormalities (hairs, skin markings, etc. gov means it's official. It is located between the thighs, and represents the most inferior part of the pelvic outlet. Groin. I: Gluteal folds. aryepiglottic fold a fold of mucous membrane extending on each side between the lateral border of the epiglottis and the summit of the arytenoid cartilage. Functionally it is part of the lower extremity. it is hard to tell for sure without an examination. 5 Infrequently a patient can be asymptomatic with the lesion discovered on routine examination. Other symptoms like redness, swelling, and pain will also be major clues in the diagnosis. How to say gluteal. With this infection, your skin may become scaly and cracked or develop bumps or blisters. I have tried hydrocortisone cream, antibiotic lotion and diaper cream but everything 'wet' makes the soreness and itching worse. Identify the superficial structures of the anterior upper and lower leg beginning with the inguinal region and ending with the foot. These four muscles fill the gluteal (buttock) region and provide it with shape and form. 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. 1,4 However, some believe all gluteal cleft anomalies other than dimples warrant further. k. Treatment usually requires having a pilonidal cyst removed surgically. Functionally it is part of the lower extremity. This muscle group consists of the gluteus maximus, gluteus medius, gluteus minimus and tensor fasciae latae. Figure 1. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. 21 The dimple has an underlying tract of epithelial and fibrous tissue that pierces the underlying fascia and posterior vertebral elements, pierces the dura, and tracks. 317 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This causes a number of eating and breathing problems. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. The only tissue excised during the cleft lift is a portion of skin. Background. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). Dorsal rami of L1-3; S1-3. Mark a point towards the cleft that is the same distance as the markings from the columellar base to nasal sill point (without lines). The primary problem is itching and any skin rash, redness or excoriation is secondary to the scratching. gluteal cleft synonyms: gluteal. [1] Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. Mrs. a. Gluteal tendinopathy is a common cause of hip pain, especially in older women. Epigastric mass; Epigastric swelling, mass. Which is sagittal: the gluteal cleft or gluteal fold? Inguinal region, femur, patella, popliteal, crural, tarsal, metatarsals. The _______ can be palpated by following the superior pelvis from the ASIS and PSIS on the side of the torso. Erythematous plaques in axillae - a report of two cases In its general usage, the term pilonidal cyst refers to an area located at the superior aspect of the gluteal cleft in the sacrococcygeal area as. Some evidence has shown that. Abscess forms at the upper gluteal cleft. Based on your photo, it looks like it could be improved with surgery. The _______ can be palpated by following the superior pelvis from the ASIS and PSIS on the side of the torso. 50 In another patient with psoriatic lesions involving groin, gluteal cleft, shaft and glans penis, as well as other body. Learn more. Gluteal Deadlifts. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. Search for pilonidal cyst on UpToDate and get access to the latest medical knowledge and recommendations. I think getting the ultrasound is a great idea because we do want to see if there is an issue with the lower part of the spinal cord. Malignancies often. 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. Scanning power view of porokeratosis reveals a hyperkeratotic lesion with a discrete parakeratotic column at the. Low-risk skin stigmata in infants: the role of ultrasound screening. Glute imbalance can cause pain up and down the kinetic chain and can cause pain in both the affected limb, as well as the opposite side, according to Dr. Superficial structures of the anterior upper and lower leg beginning with the inguinal region and ending with the foot. DRG 603 CELLULITIS WITHOUT MCC. $32. LWW'Gluteal fold' sounds professional, so that's what I will use. This pain is caused by the muscles, skin, and blood vessels in your buttocks pressing on nerves. A thorough physical examination of a newborn should be done within 24 hours of birth. Note. Gluteal Fascia. They have no associated abnormalities (hairs, skin markings, etc. Federal government websites often end in . Under the breasts. They are caused by interaction of genetic and environmental factors, and are prevented with folate supplementation. Their clinical finding shows the L4/5 level is the main level responsible for gluteal pain in lumbar disc hernia. 2-7. 1 The underlying cause of pilonidal disease is. It exits the pelvis via the greater sciatic foramen above the piriformis and immediately divides. Intertrigo may present as diaper. k. Warmth – warmness in the gluteal area. 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. This is the American ICD-10-CM version of S31. Read More. Gluteal perforators are not selectively dissected, and for this reason there is no need for pre-operative Doppler identification of perforators, which simplifies the procedure. A pilonidal cyst is an infected hair follicle that occurs at the top of the buttocks. The natal cleft is the ‘valley’ between the buttocks overlying the ‘tail bone’ of the spine and the buttock cleft is the corresponding ‘valley’ between the fleshy parts of the buttocks. 317 may differ. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. Gluteus Maximus. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. ICD-10-CM/PCS MS-DRG v37. 1) Cost – Twice-a-day application of a topical ointment containing balsam peru, castor oil and trypsin (BCT) at $48. The goal of the cleft lift procedure is to undermine and completely obliterate the gluteal cleft in the diseased area. $32. Gluteal cleft Stock Photos and Images. 65 Type 2 diabetes mellitus with hyperglycemia. 31 may differ. Symptoms can range from mild to severe, depending on the level of infection. 0 Definitions Manual. Identify the structures in sequence. It is designed by a fashion designer named Kimberly brewer. 320 may differ. It is characterized clinically by unilateral or bilateral hyperkeratotic, lichenified plaques on the gluteal area, being attributed to prolonged sitting, particularly in the elderly. 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. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. Route 1 supplied the skin along the gluteal cleft, route 2 the gluteal fold (i. 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. Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. It also extends from the iliac crest superiorly to the gluteal fold inferiorly. 0553, Fisher’s exact test). Impetigo, unspecified. 320 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Urinary and bowel. How to say gluteal. CONCLUSION. ICD-10-CM codes: L02. It covers the area from iliac crest from above to the gluteal fold below. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. 6% (in Turkey). Intertrigo, or intertriginous dermatitis, is a common inflammatory condition of skin folds characterized by moist erythema, malodor, weeping, pruritus, and tenderness ( picture 1A-D ). 2 Now make a horizontal incision just below the knee. 4. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. 5 cm area of induration, fluctuance, erythema, and tenderness to the right buttock along the gluteal cleft. 31 became effective on October 1, 2023. The boil may feel warm and swell as it fills with pus. This condition is characterized by being [6]: Non-discogenic. Cutaneous abscess of gluteal region. 3 As an alternative to a lower body lift, Hurwitz et al 9 describe an oblique. ANSWER: SACRAL DIMPLE. The only relief I've had is by using Lanacane powder which dries things up and stops the itch. Psoriasis is a common scaly skin condition resulting in red scaly and thickened patches of skin. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. After every occurrence of incontinence, wash your skin using water and emollients. 1 Now make a vertical incision from superior to inferior in the posterior thigh, starting at the gluteal fold above and ending below in the proximal calf— don’t go too deep or you will penetrate the fascia lata. Tinea is another name for ringworm, and cruris means groin. It extends from just below the sacrum to the perineum and ends superior to the anus. It can be performed in the primary patient without perianal disease, with a 98. Now I’m freaking myself out because everything. Its limits are (Fig. 7% success rate. Pathologic entities in the gluteal region reflect the diversity of tissue types present. b Drawing. Gluteal Fold/Gluteal Cleft Women's Plus Size Scoop. Structure. Fat stranding is an important finding that alerts the radiologist to an abnormality. According to studies, gluteus maximus is twice as heavy as the gluteus medius muscle and 27% heavier than the. Results. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. Medially, an intergluteal cleft separates the two buttocks from each other, while laterally they are bounded by the hip regions. Deep gluteal syndrome describes the presence of pain in the buttock caused from non-discogenic and extrapelvic entrapment of the sciatic nerve. a birthmark in the area. Graphic 87078 Version 1. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. According to the 2018 American Society for Aesthetic Plastic Surgery data, 99. It is a rare type of skin tumor (0. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. If you have a gluteal abscess and would like some more advice about a potential medical negligence claim, we urge you to call us free on 0800 234 3300 (or from a mobile 01275 334030) or complete an Online Enquiry and let us explain your rights and options. Inferior gluteal a. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. Buttocks: Plaque or inverse psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks or gluteal cleft. A presumptive diagnosis was made of psoriasis, and the patient was given Elocon cream (Mometasone. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). The pathogenesis of vulvar Crohn disease remains unclear. e. Symptoms of IAD include: redness, ranging from light pink to dark red, depending on skin tone. Doing the examination with parents present allows them to ask questions and allows the clinician to point out physical findings and provide anticipatory guidance. DRF in skin fixed group was fixed cutaneously on the middle of sacral hiatus area after confirming the landmarks including iliac crest, posterior superior iliac spine, and intergluteal cleft. Samir Shureih MD. An official website of the United States government. When individuals have skin breakdown on their gluteal region, it is often identified as a Stage 2 pressure ulcer/injury (PU/PI). Anatomically it is part of the trunk. It extends from the upper iliac crests to the lower gluteal fold of the skin. Doctor. The first is due to the buttocks getting the least amount of sun exposure. diseases of the male reproductive organs. The rounded shape of the buttock is due to the gluteus maximus muscle. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. A pilonidal cyst is an infected hair follicle that occurs at the top of the buttocks. The cluneal nerves are branches of the. Trapped moisture, which is usually due to sweating, causes the surfaces of your skin to stick together in your skin folds. Codes within the T section that include the external cause do not require an additional external cause codeIAD can erode this barrier, causing severe and uncomfortable symptoms. In those 3 routes, we noted the consistent morphology of the thick and long, first cutaneous branch of the IPA. The vertical line starts from sacrum to the perineum. The superior and inferior gluteal nerves are infrequently injured in the pelvis and gluteal region, usually because of iatrogenic injury. Pressure ulcer of left buttock, unstageable. buttocks 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. Answer: Scoliosis. y Upper end of gluteal cleft*. At the inferior level (gluteal folds), the inferior cluneal nerve. Listen to the audio pronunciation in the Cambridge English Dictionary. This nerve exits the pelvis through the sciatic notch above the piriformis muscles. 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. The sacrotuberous ligament extends between. 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. Gluteal Fold/Gluteal Cleft Women's Long Sleeve T-S. superior gluteal nerve. A pressure injury develops as a result of unrelieved pressure between the sacral bone and the sitting or lying surface. The gluteal muscles are the most superficial group of the posterior hip and thigh muscles. Do you want to learn more about pilonidal cyst, a type of skin infection that occurs near the tailbone? UpToDate offers reliable and evidence-based information on pilonidal disease, its causes, symptoms, diagnosis, and treatment options. It is the most common site of intra. Bilateral gluteal tendinitis; Gluteal tendinitis of left hip; Left gluteal tendinitis; Tendinitis of bilateral gluteal tendons. Tensor fascia latae is the most anterior of the superficial gluteal muscles. The gluteus maximus muscle is a broad, thick, quadrangular muscle that forms the prominence of the buttocks. cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. Contrast with perianal fistula which is adjacent to the anus. Type I is the mildest form of laryngeal cleft. A 4-mm punch biopsy of the gluteal cleft was. 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. Pilonidal Cyst. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. published in BMC Musculoskeletal Disorders have added to the weight of evidence supporting association between gluteal pain and lumbar disc hernia. The inferior gluteal artery originates as a branch of the anterior division of the internal iliac artery. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). The sites are usually very localized as in your case where symptoms are limited to the side of gluteal cleft. At the midline level (intergluteal level), the middle cluneal nerve. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. It is a common skin condition affecting opposing cutaneous or muco-cutaneous surfaces. a Drawing showing five landmarks (1–5), contours (bold line) and two zones of the each buttock (6). A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. There is no skin. Posteriorly the ilium articulates with the sacrum. 5. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. The gluteal region and posterior thigh contain various blood vessels and nerves that supply the muscles, bones, and skin of the region. It. A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. 2% of patients undergoing buttock augmentation with fat grafting were females, with 80% of patients between 18 and 50 years of age. Hypertrichosis : Caudal appendage . Although such skin changes have recently been reported as anosacral cutaneous amyloidosis in primary cutaneous. Assessment for IAD should be incorporated into a general skin assessment and performed as part of a pressure injury prevention/continence care program. 4 When a large amount of tissue is removed, as in traditional pilonidal surgery, and the incision is closed in the midline, the cleft remains deep, a dead space is often created, and this leads to recurrent infection or unhealed wounds. 7% success rate. A coccygeal pit was. According to a study by Weprin and Oakes, only seven of 1,000. Now I’m freaking myself out because everything you see on google says tethered spinal cord. 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. Anatomically it is part of the trunk. Gluteal Region is the back and side of lateral half of pelvic region. Iliac crest. My psoriasis of the gluteal cleft begins at my tailbone. This system of hospitals provides healthcare services for a wide region of the Northwest United States including remote regions and. I think this is one of the sexiest parts of human anatomy and I’ve been unable to find a. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. Innervation. Everyone has a gluteal fold. A pilonidal sinus affects the natal cleft, which is the top of the crease of the buttocks, just under the tailbone. 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 hip joint consists of the femoral head (ball) and the acetabulum (socket), a cavity created by the hips bones. 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 means that the butt crack will appear off-center. He explains that the pain has been there for months, but over the. The cleft and peri-anal skin is intact. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3 Reflect the two flaps of skin in the posterior thigh medially and laterally. Physical therapy exercises can help, although some people need other interventions. The patient has an unusual sacral crease and sacral dimple. The second reason is dead skin can accumulate in this area, which is hard to get rid of by yourself. Asymmetry. x. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 01% of all skin tumors). The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. The estimated overall incidence of pilonidal disease is 26:100,000. 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. The GFFs were performed alone (unilateral n = 3, bilateral n = 3) or in combination with a contralateral anterolateral thigh (ALT) myocutaneous flap (n = 1). Is there a pleasing or sexy term for the gluteal fold, or gluteal sulcas? I’m not talking about the butt crack. Linear erosions also occur. subfascial gluteal augmentation: a silicone implant is placed in the subfascial space, under the gluteus maximus muscle; intramuscular buttock augmentation: a silicone implant is placed inside the gluteus maximus muscle; These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft. The. The fat was injected with a 4 mm angled basket cannula attached to a power-assisted handpiece (Microaire Surgical. The codes are scattered throughout the musculoskeletal system subsection, with listings under each anatomical excision subsection. ABSTRACT. A pilonidal cyst is usually diagnosed by examining the area of the natal cleft for a cyst. thanks" Answered by Dr. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). Small amounts of pain that go away after a few days. 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. Answer: Gluteal cleft. 8%.