If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. O’Neill B. I guess my point is I should have asked more questions about how long we could wait and what the possibility was that the MRI would be inconclusive. At her check up her doctor noticed that she has a y shaped gluteal crease. Advanced searchGross anatomy. age 3 months, a magnetic resonance imaging (MRI) L spine revealed a lumbar lipomyelomeningocele (2. 1 Given the increasing aesthetic expectations and demands regarding the shape, structure, and location of the implant, many surgical methods have. Figure 2: (A) Greater trochanter, (B) Point of maximal projection of the mons veneris, (C) Point of maximal gluteal projection, (D) Anterior superior iliac spine. The lower gluteal crease is the caudal limit of the gluteal caudal region. Figure 3: Superficial muscles of the gluteal region and posterior thigh. An ideal method of perineal closure after resection for low rectal cancer surgery is a topic of debate. 4). skin tags. Posterior view and B. The patient is then asked to contract the gluteal muscles; the affected side may demonstrate less activation or less muscle bulk when compared directly with the other side. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Gluteal Region is the back and side of lateral half of pelvic region. 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. Usually occur in combination of other masses, e. This is the American ICD-10-CM version of S31. I guess my point is I should have asked more questions about how long we could wait and what the possibility was that the MRI would be inconclusive. 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. ’s warm, “moist” environment, a bouquet of biota feels right at home. I can’t help but worry!!! 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 term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). Gluteal muscle contracture (GMC), as the name suggests, is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia, in severe cases hip external rotators and rarely hip joint capsule [ 1 – 3 ]. One study demonstrated that isolated gluteal cleft deviation or forking. The patient's satisfaction was good with long-term. Y-shaped crease and were. OBJECTIVE Cutaneous stigmata or congenital anomalies often prompt screening for occult spinal dysraphism (OSD) in asymptomatic infants. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. Complete 10 to 15 reps. Dimples that may require further investigation are those that are large. Take the stairs rather than the elevator. The Dr said its not attached & not to worry. These patients tend to have central obesity, thin legs, and a tall pelvis. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. [99,100] described it as: 1. A. Multiple dimples were encoun-tered in 1. 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. Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Centeran S‑shaped gluteal crease since age 2 weeks. GreenSkin tags are usually raised, hand off the skin. Mar 18, 2018 · Y shaped gluteal waiting for scan. Hankinson, C. 4). 4. The skin in the crease develops enlarged pores in the midline (we call them “pits”). many men experience benign or malignant hypertrophy or hyperplasia (enlarging) of the prostate gland. 3. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. In anchor thighplasty, the anchor has 3 limbs or hooks: Two represent the buttock creases and the third extends between the inner thighs. 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. Our technique allows for the. S31. z. Long-term follow-up is needed to evaluate for possible fat necrosis of the transferred. A short infragluteal fold lying in the horizontal crease under the ischial tuberosity, which does not extend beyond the medial two-thirds of the posterior thigh. It is possible to create a new or more defined gluteal by adding volume to the buttocks through a BBL procedure. Deep dimples were noted in 1. Coming Soon—Pediatric Care Online on New Unified Site Posted 10/20/21 Coming in November, all your trusted AAP resources, including Journals, News, Point-of-Care Solutions, and Books, are moving to one unified site offering unparalleled innovation with streamlined access to essential pediatric titles all in one place. Longitudinal sonogram shows hyperechoic filum of normal size (< 1 mm) ( arrow ) at L5-S1. Moral of the Morsel. Muscles That Influence the Spine. 20–22 Cuenca-Guerra and Quezada 20 reported that supragluteal fossettes, a V-shaped crease, lateral depression, and an inferior gluteal crease are important aesthetic characteristics of the gluteal region. ORIGINAL PAPER Proposed caudal appendage classification system; spinal cord tethering associated with sacrococcygeal eversion C. The infragluteal fold consists of the inferior border of the gluteal region and is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin [3]. A V-shaped crease (sacral triangle), which arises from the proximal end of the gluteal crease and extends toward the sacral fossettes. 29: Hypospadias: Coccygeal pit: CM ends at L2-3: N/A: No clinical TCS; PT: Male. These ideals include (1) lateral depression of the buttocks, (2) supragluteal fossettes, (3) a V-shaped gluteal crease (“sacral triangle”), and (4) the infragluteal fold [2–4]. Herron A. Figure 1: components of beautiful buttock. 1055/b-0040-178170 CHAPTER 30 360° Torso Tuck with Gluteal “Wallet-Flap” AutoaugmentationDouglas S. How to use gluteal in a sentence. ". diseases of the male reproductive organs. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. 6 may differ. 0001). A. Pathologic entities in the gluteal region reflect the diversity of tissue types present. Kaitlin N. Asymmetry. Y Shaped Gluteal Crease? jomarma member. 4). The gluteal fold is formed by the fibrous attachment of the gluteal skin to the deep fascia, while the. These areas are generally moist. The intergluteal cleft (a. Surgical technique. Although the safety of gluteal augmentation with autologous fat grafting is still controversial, the proportion of operations is increasing year by year. Other names. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. 6 - other international versions of ICD-10 Q82. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. Humidity-loving microbes like Staphylococcus and Corynebacteria delight in hanging out in there (and other warm, moist areas like inside your belly button and in your toe cracks). depression of the buttocks, (2) supragluteal fossettes, (3) a V-shaped gluteal crease (‘‘sacral triangle’’), and (4) the infragluteal fold [2–4]. Learn more about how to deal with. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. The sacral plexus nerves help with motor and sensory function in the thighs, lower legs, feet, and pelvis. 8. Proximal Hamstring Tendon Injuries: Diagnosis and Management. Cramer, in Clinical Anatomy of the Spine, Spinal Cord, and Ans (Third Edition), 2014 Gluteus Maximus Muscle. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. The access incision is in the intergluteal crease and the muscle is reached after suprafascial undermining at both sides, shaped as an inverted heart. Skin Ulcer Symptoms. Y shaped gluteal waiting for scan. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. Sciatic Nerve. Like the square butt, fat distribution, hip bone shape, and muscle development determine the shape. It extends from. I can’t help but worry!!!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. worried for my 7 weeks old son. Isolated midline dimple was the most common indication for imaging. Hi everyone hopefully someone can put my mind at rest. track my baby. Deviation of the gluteal crease due to the location and morphology of the mass. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Asymmetric or malformed Gluteal cleft. Yes my son has that. The patient has an unusual sacral crease and sacral dimple. A V-shaped proximal gluteal crease was accentuated by. Asymmetric forked gluteal cleft is a condition in which the two sides of the buttocks form a V-shape, rather than a U-shape. It will go away as baby gets older. Sacral Dimple. It is also called butt crack or ass crack. March 2017. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. Sacral Dimple. Fine tune the look for poses or animation, the choice is yours. Pediatr Rev. Vascular SupplyThe most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. The overall preferred ratio was 0. O'Neill, Danielle Gallegos, Alex Herron, Claire Palmer, Nicholas V. Open neural tube defects are lesions in which brain, spinal. Dr. Has anyone had any expierence with this ? Thanks x. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. 3,4,9,10,15,16,18,26,27 The true prevalence of OSD has not been established. Posted 18/3/18. Reflect the skin flap over the gluteus maximus laterally. Download scientific diagram | A: Intraoperative photograph of thickened filum terminale or lipoma of filum terminale prior to sectioning. 8 It is bordered cranially by the middle-medial compartment, and caudally by the gluteal crease and the gluteal cleft adhesion. Its limits are (Fig. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. A few dimples were located in the upper portion of a deviated or Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. The rash is often very itchy. 2021 Apr; 4 (2):V10 Epub 2021 Apr 01 View PubMed; Bookland MJ, Ahn ES,. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. 4 Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions The doc looked at their butt cracks and my daughter's has a crooked crease right at the top. The fibres slope across the buttock at a 45 degree angle and insert onto the iliotibial tract and gluteal tuberosity of the. It is also called butt crack or ass crack. It is caused by two different but similar viruses known as herpes simplex virus 1 (HSV-1) and herpes simplex virus 2 (HSV-2) . The piriformis is a pear-shaped muscle in the buttocks that extends from the base of the spine to the top of the thigh. The gluteus maximus is the largest of the gluteal muscles. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 5%. kdmahnke13. Rarity: Common. causes Diagnosis & treatment Overview A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. 20–22 Cuenca-Guerra and Quezada 20 reported that supragluteal fossettes, a V-shaped crease, lateral depression, and an inferior gluteal crease are important aesthetic characteristics of the gluteal region. Posted 15-01-11. 5cms from anal verge o Vascular lesion e. As an aside, plastic surgeons want you to know the “most attractive” gluteal crease is a v-shaped one. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. Make sure to compare both sides as basically everyone will report pain if you. Most sacral dimples are harmless and don't need treatment. 2 months at imaging were included in the study. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. They may be associated with a tuft of hair. (the top of the crease between her. The gluteal fold flap was first described as a variation of the lotus petal flaps by Yii and Niranjan in 1996. What causes a y-shaped crease at the top of newborns bum crease? i don't see a dimple. The infragluteal crease 1 appears in literature as several terms such as “gluteal crease,” “infragluteal fold,” “infragluteal sulcus,” 19 “horizontal gluteal fold,” “gluteal fold,” “inferior buttock crease,” “lower gluteal crease,” and “inferior gluteal crease. Isolated midline dimple was the most common indication for imaging. The Q82. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. buttocks in shape have received much media attention in recent years, which has produced increased patient demand for buttock reshaping. Hi moms! I am a FTM with 2 week old. A positive test suggests pathology involving the inferior gluteal nerve, L5. ICD-10-CM Diagnosis Code M76. The Gluteus medius and minimus work together as hip abductors and are vital to normal locomotion. Candidal diaper dermatitis involves clinically significant infection with Candida albicans and presen. 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%),. Applicable To. cc26j. defined the infragluteal fold as a result of gluteal ptosis secondary to sagging of the buttocks and redundant gluteal tissue [ 9 ]. The highest portion of the intergluteal crease—that is, line A for the XYZ technique—was marked to keep the incision hidden in the intergluteal crease. The gluteus maximus is the largest of the gluteal muscles. A sacral dimple is defined as a midline dimple less than 5 mm in diameter and no further than 2. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. It is an oblique groove that is. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment. The sciatic nerve runs under the gluteus maximus. ” Example of wording for Severe IAD: “After assisted to a semi-prone position for exam, areas of epidermal denudement are noted on. 38. Copy referenceHerpes is a common viral infection that can cause sores in the mouth or genitals. A. They’re also common in people who sit for long periods of time, such as truck drivers. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. I took my LO to see HV yesterday to be weighed and after she had weighed my LO she picked her up and noticed that at the top of her bum crack (excuse terminology) she has a V shaped crease where as i suppose normally it is just a single line. Landmarks can also be used to identify the location of the emergence of the inferior gluteal artery outside the pelvis. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. 2-7. My daughter has a y shaped cleft at the top of her bottom. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. Hypertrichosis. 5 mm. Answer: The mistake of trying to create a defined crease with Liposuction. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. Most often it occurs between puberty and age 40. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. Infant is a product of an uncomplicated pregnancy and delivery. 06. Cindy Williams answered. It’s usually located near the tailbone at the top of the buttocks crease. Using verbal descriptors from Gray's Anatomy,6 I drew markings to indicate the different areas of the buttocks based on the location of bony prominences, and I added soft tissue and skin crease locations to complete the initial aid . These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. swelling in the area. Y-shaped creases could be quite distinct with long upper creases or barely visible with short upper creases. 5%. does any of your baby have this? I will call our family doctor to have it assessed. read more. In. 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. The inferior-medial compartment is encased by the ischiocutaneous ligament and is triangular in shape. Figure 1: components of beautiful buttock. the addition of an implant alone without additional contouring can result in a boxy and unpleasing shape. Currently, there is no generally accepted technique for the correction of buttock ptosis. By Perrine Juillion / October 25, 2019. below the level of a symmetrical gluteal crease? Yes No Reassure parents that this is not significant and no follow up or investigation is needed. At this stage, it is best to be evaluated by a plastic surgeon. There was no difference in the rate of OSD based on dimple location. This is the American ICD-10-CM version of L30. The buttocks are formed by the masses of the gluteal muscles or "glutes" (the gluteus maximus muscle and the gluteus medius muscle) superimposed by a layer of fat. Use super vision! Ultrasound can visualize the underlying structures in children less than 3 months of age. Gluteus medius is a fan-shaped muscle with its posterior third lying deep to the gluteus maximus. Push down on the pads with your hamstrings to fully contract your lower legs. 8, 9 The aim of this study was to investigate and compare. 782. 3 is between the ideal range for a safe and successful BBL surgery. No other skin changes are seen. 9 The role of fat grafting in buttock augmentation is to augment and shape the buttocks in a way that cannot be accomplished with silicone implants,. Q82. The inferior extent of the buttock is marked by a gluteal fold of skin below. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). The gluteus maximus is the largest and most superficial of the three gluteal muscles. A crooked crease between the buttocks. A lump of the lower back. 58 when compared with the buttock ratio of 0. Multiple dimples were encountered in 1. This crease is seldom seen in children and young thin adolescents whose buttocks are not hypertrophic. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. Another remarkable finding is the inferior oblique gluteal crease that is most prominently seen in the “square” buttock . 6% had dimples, and 24. Stability ball hip lift and leg curl. The nerve exits the pelvis through the greater sciatic foramen. Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Male/8. Definition. Included in these groups were several variations. Gluteal Deadlifts. Go hiking. Purpose To provid a comprehensive and detailed review of the. • Although most lesions occur in the midline, eccentric lesions are not inThe rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. 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. 66 (P < 0. Vascular cutaneous changes over the mass are visible. Y Shaped Bottom Cleft. This is what my doctor said about our DD: "It is an abnormal gluteal cleft, or Y shaped gluteal cleft, and it suggests we check for a tethered spinal cord. g. In some individuals the crease is very deep, and remains folded all the time. If an individual has this condition, it can be corrected surgically depending on the severity. Feb 4, 2023 at 3:55 PM. Fig. The superior gluteal nerve is responsible for innervation of the gluteus medius, gluteus minimus, and tensor fasciae latae muscles. . Actively look for concerning findings. Results: All profunda artery perforator flaps have been successful. Piazza Summary A 360-degree Torso Tuck with gluteal autoaugmentation is a modern approach that targets a specific patient population so that they may have an incredible cosmetic result, which,. The 2024 edition of ICD-10-CM Q82. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. Many types of procedures are performed 1:. B: After sectioning the. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. causes Diagnosis & treatment Overview A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. An experienced surgeon can sculpt this area with laser liposuction (SmartLipo) for you. Source: Ben-Sira L, Ponger P, Miller E, et al. Your current Body Mass Index estimate of 26. Pitanguy's 33 early attempts to camouflage incisions within the gluteal crease at the time of direct excision resulted in a distorted transition between gluteal mound and upper posterior thigh. Access records and results, view and pay bills, request prescription renewals, and request appointments. sacral dimple or Y-shaped gluteal cleft) are unlikely to be associated with understudying occult spinal dysphrasim (OSD) • If covered completely by skin, otoscopic examination of the dimple often can determine if there is a bottom to the pit. read more. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. The musculature is formed principally by the three gluteal muscles:. 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. of or relating to the gluteus muscles… See the full definition. This area is the groove between the buttocks that. 5 cm from the anus. To reduce the risk of transmission, people living with anal herpes need to employ additional prevention strategies, including:The anterior gluteal line begins near the iliac crest taking a curved path posteriorly and inferiorly towards the greater sciatic notch. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Whiteheads are caused by hair follicles becoming clogged with oil & dead skin cells. The dimple in this photo is the tiny dark brown shadow below the. Origin. 33 In. My son who is 6 months old is scheduled for a MRI in June to check for a tethered cord. The superior gluteal artery transports blood from the heart to the glutes. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Fig. The gluteal muscles all arise from the gluteal lines. The gluteal cleft most of the time heals on its own but if not, then a proper treatment along with a pain reliever is recommended. 6 may differ. 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. They may be associated with a tuft of hair. It is also known as the “butt crack” and “intergluteal cleft. Original poster's comments (2) 0. Included in these groups were several variations. Attachments: Originates from the gluteal (posterior) surface of the ilium, sacrum and coccyx. 5 cm (range 6–9 cm) Diameter: Range 2–2. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. He seems completely healthy otherwise. 2-7. 4 may differ. Isolated midline dimple was the most common. k. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. Prolonged exposure of the skin to high levels of moisture can result in acute maceration. These creases were observed in 45% of the analyzed photographs. At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. Transfer Left Trunk Muscle, Gluteal Artery Perforator Flap, Percutaneous Endoscopic Approach. 20-Minute Workout for Lower Glutes and a Better Under-Butt. The buttock refers to the rounded bulge in the lower part of the gluteal region. Understanding where and how to activate. The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. Hey Ladies. its likely nothing to worry about, but you can always ask your dr for an ultrasound to be sure. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. A true sacral dimple is more than just a y shaped butt crack. Fig. 819A became effective on October 1, 2023. Of patients undergoing screening for OSD as part of cutaneous stigmata identification, up to 8% had asymmetric gluteal cleft deviation and 7% presented with Y-shaped gluteal cleft, 45 O’Neill B. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Youssef, Seth W. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. (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. There have been no large prospective studies of isolated gluteal cleft abnormalities. Y-shaped gluteal crease: 1/1 (100%) Total: 81/87 (93%) Open in a separate window. Complete 10 to 15 reps. Follow your baby's amazing development. These are the gluteus maximus and the glutius medius. HandlerDownload MyChart to connect with your care team. 0. V-shaped crease. 8. V-shaped crease. V-shaped hairline that tends to run in families.