swelling in the area. kdmahnke13. A pilonidal (pie-luh-NIE-dul) cyst that's infected is called a pilonidal abscess. It can be performed in the primary patient without perianal disease, with a 98. 419 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The MyChart Patient Portal is an online tool that provides medical information about care provided at Johns Hopkins All Children’s and connects you to your health care team. [1][2] It is a key conduit for. September 2014. -second stage: lacy, blotchy appearance. 4 may differ. 5 × 1-cm lumbosacral skin appendage (black arrow), slightly to the left of midline, plus a y-shaped gluteal cleft. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. , lipomas, teratomas, etc. Incision and drainage. It is almost Y shaped at the top - pic attached I hope. 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. In children, symptoms may include lesions, hairy patches, dimples, or fatty tumours on the lower back; foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. Asymmetric or malformed Gluteal cleft. 8 became effective on October 1, 2023. Physical examination should also include assessment of the perineum and urinary meatus, as well as the lumbar region. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. Recent reported results by Fang et al. Around the anus. The 2024 edition of ICD-10-CM Q82. A doctor will also look for other symptoms that may occur with a sacral dimple. The result is an annular (ring-shaped) plaque from which the disease derives its common name (ringworm. With thousands of award-winning articles and community groups, you can track your. Leopold, Edward S. 3 As an alternative to a lower body lift, Hurwitz et al 9 describe an oblique. Patient characteristics and symptoms in chronic . [1] Classically, this results in a "V-shaped" cleft in the hand with a variable degree of. Signs and symptoms of a tethered cord can include the following: A crooked toe. track my baby. Intertrigo occurs more easily in environments that are hot and humid. Q71. Sacral dimples are usually first picked up at their newborn check and as long as the bottom of the dimple can be seen easily then there is no concern. Hi moms! I am a FTM with 2 week old. Far less attention, however, has been paid to muscle abnormalities around the hip such as those in the gluteus medius (GM). Is in the shape of a fan located in the posterior pelvis, on both sides and connects the sacrum to the iliac tuberosities. Download scientific diagram | Sagittal, unenhanced T1 weighted MRI image of an intramedullary dermoid in 18 year old man. Leopold, Edward S. And ulcers in SGD were observed in locations that force both gluteal regions to evert. Nerve entrapment in the deep gluteal space. g. It's like it is a little. Leopold and others published Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft | Find, read and cite all the. We present a case of a 6-month-old male with a low-lying conus medullaris, lumbar syrinx, mildly abnormal urodynamic studies, and asymmetric utilization of his. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. Slightly above the ischial tuberosity is MTP2, the most common trigger point of this muscle. J Cutan Pathol. a. At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. Under general anesthesia, the patient is placed in a prone position. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Affected individuals. 90. This was the first year ICD-10-CM was implemented into the HIPAA code set. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. The 2024 edition of ICD-10-CM M25. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. 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. The STL. Symptoms. The purpose of this study was to analyze unusual and complex dysraphism and propose a new classification based on clinicoradiological correlation and anatomical location. Here are some of the most common symptoms of herpes on the buttocks: skin feels itchy or burns before bumps or blisters appear. The 2024 edition of ICD-10-CM S13. 9 became effective on October 1, 2023. 8. The 2024 edition of ICD-10-CM P83 became effective on October 1, 2023. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. Pilonidal disease refers to a subcutaneous infection occurring in the upper half of the gluteal cleft. 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. In the crease of the neck. Intertrigo is due to genetic and environmental factors. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. This is not noticedBackground Much research has focused on quantifying the bony characteristics of patients with developmental dysplasia of the hip (DDH). a sense of pressure. This area is the groove between the buttocks that. Figure is available in color online only. This type of back dimple is directly superficial to the two sacroiliac joints, where the sacrum attaches to the ilium of the pelvis. A HV mentioned it a while back but said not to worry. Impairments in dynamic postural control and gluteal muscle activation have been associated with the development of symptoms related to long-term injury, which are characteristic of chronic ankle instability (CAI). [1] Classically, this results in a "V-shaped" cleft in the hand with a variable degree of deformity. The Y shaped cleft is a common variation and rarely associated with a tethered cord (anchored) which would become evident. It is a visible border separating ass into two parts. g. 6 - other international versions of ICD-10 Q82. hemangioma, telangiectasiaDuplicated Gluteal cleft. 02 may differ. Sacral dimples can be “typical” or “atypical”. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment. 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef. If you are concerned about your general ability to heal, then please read my page on Nutrition for Healing, and increase your protein intake and take the vitamins and supplements I recommend. She said it can be from a tight umbilical cord and can very rarely cause. . The rotating of tissue causes the gluteal cleft to shift. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. He did great & slept through the whole thing. Collapse all. They could have a prominent central crease associated. There is also very superficial excoriation between the 2 bony prominence injuries in an abrasion pattern so likely friction is a main risk factor in these pressure ulcer injuries. TreatmentBoston Children’s Hospital. 722 became effective on October 1, 2023. Diagnosis. The intergluteal cleft (a. It covers the area from iliac crest from above to the gluteal fold below. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. Patients acquire the disease after incurring an injury near the tailbone, usually from repetitive sitting or a fall. This is the American ICD-10-CM version of Q35. Often, the area will drain fluid that may be clear, cloudy or bloody. The muscle’s blood supply. He underwent elective. Applicable To. 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. 8 is a billable diagnosis code used to specify other congenital malformations of musculoskeletal system. NT scan. Access records and results, view and pay bills, request prescription renewals, and request appointments. I had a cleft-lift, and part of the incision separated. The gluteal region refers to the general region of the. Stiffness. This is a Y-shaped deformation on the chin with an underlying bony peculiarity. Some of the symptoms might include: A painful lump at the bottom of the spine/top of the buttocks. They may be associated with a tuft of hair. The neural tube is the structure in a developing embryo that eventually becomes the baby's brain, spinal cord and the tissues that enclose them. Ranked among the best in the nation by U. Y Shaped Bottom Cleft. Code. evaluation of a Y-shaped gluteal cle . Jan 14, 2019 at 9:16 PM. 6 became effective on October 1, 2023. Psoriasis is an inflammatory disease that manifests most commonly as well-circumscribed, erythematous papules and plaques covered with silvery scales. She took some pictures and sent them to a neurosurgeon who said we. Now I’m freaking myself out because everything you see on google says tethered spinal cord. 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. e. Messages 2,335 Location ENGLEWOOD/DENVER Best answers 0. With this infection, your skin may. 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. Gallegos D. The frequency of the cleft chin varies widely among different populations. The first one, MTP1, is adjacent to the sacrum and pain is referred to the sacroiliac joint, the area beside the gluteal cleft, along the gluteal fold, and, occasionally, the posterior aspect of the thigh. This bending and sitting action tightens the skin of the gluteal cleft and lifts it from the fascia. This area is the groove between the buttocks that. 3 Our preferred flap repair is the rhomboid or Limberg flap which aims to create a tension-free tissue flap that flattens the gluteal cleft. With infection, the area becomes red, tender and the drainage (pus) will have a. Gluteal shape is determined by four anatomic variables and their relationships: (1) underlying bony framework, (2) gluteus maximus muscle, (3) subcutaneous fat topography, and (4) skin. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. In people with SBO, the bony covering in the back of the spine does not close completely, but there is no opening or sac in the back as seen in other types of Spina Bifida, and the lesion is covered in skin. Analpram is a steroid, as you said, and with prolonged use thins the skin. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. 1 We present an unusual case of verrucous porokeratosis presenting as a unilateral single. 621 became effective on October 1, 2023. This debilitating disease was first described by Fernandez de Valderrama in 1969 [ 1 ]. [Billable] [POA Exempt] There's more to see -- the rest of this topic is available only to subscribers. a patch of hair by the dimple. Table of Contents 2021 - 42 (10) Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. other signs and symptoms. 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. 75 - other international versions of ICD-10 M25. The 2024 edition of ICD-10-CM L30. Synonyms: brachydactyly of hand, brachymetacarpia, congenital. These pores develop because of the deep cleft, and pressure in the cleft which enlarges the normal size skin pores. 2. Epigastric mass; Epigastric swelling, mass. Duplicated gluteal creases were classified based on crease appearance above the buttocks. poor posture. 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). Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Physical examination revealed a round. In these cases, the damage is very localized, but the effects are widespread depending. ICD-10-CM Diagnosis Code M76. Signs & symptoms. 722 may differ. Symptoms you should never ignore. In association with other OSD associated congenital abnormalities like CEARMSBaby movements week by week. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. The y shaped gluteal cleft and a tuft of hair can both be signs of a tethered spinal cord. Gregory. Moisture from insensible water loss and sweating cannot evaporate due to occlusion. 6). Bowel and bladder dysfunction are universal. Tinea is another name for ringworm, and cruris means groin. The Dr said its not attached & not to worry. Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. Y Shaped Gluteal Crease? jomarma member. Sacral dimples are common and unproblematic in the vast majority of cases. Some evidence has shown that. When you have back pain, buttock pain, hip pain, or leg pain, much or even all of your trouble may well be caused by trigger points in the obscure gluteus medius and minimus muscles, a pair of pizza-slice shaped muscles a little forward of your hip pocket. A normal uvula, shaped like a teardrop or a grape. In children, symptoms may include lesions, hairy patches, dimples, or fatty tumours on the lower back; foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. I mentioned it to the doctor when she. 2. The median duration of patient-reported symptoms prior to surgery was 24 months. More Information. The patient has an unusual sacral crease and sacral dimple. A pilonidal sinus is a sinus tract which commonly contains hairs. Jildeh. 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. 4 - other international versions of ICD-10 L30. It's a y shaped divot above DDs butt. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. This anatomy is well depicted at imaging, and management is often dictated by what structures are involved. S. Hi, does anybody know anything about this issue? 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. This is not noticed when your child has on clothing. Gluteal Muscles. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. 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. He underwent elective spinal cord detethering via the safe and effective, minimally. The gluteal cleft is an anatomical characteristic found in both males and females. [ Wu, 2020] ~2-4% of all newborns have a sacral dimple. At her check up her doctor noticed that she has a y shaped gluteal crease. Minimize friction—dry the skin by patting, not rubbing, keeping in mind that friction is one of the causes. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. k. Inflamed, swollen skin. Brachycephaly, prominent parietal eminences, facial asymmetry, blepharophimosis with upslanting eyes, abnormally shaped pinnas, asymmetric chest, long trunk, Y-shaped gluteal cleft, anteriorly displaced anus, clinodactyly, deep furrow and increased space between first and second toes, central and peripheral hypotonia,. Congenital dermal sinus form due to a focal failure of dysjunction between the cutaneous ectoderm and. 4,437 satisfied customers. The y shaped gluteal cleft and a tuft of hair can both be signs of a tethered spinal cord. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. a dimple larger or deeper than 5 millimeters (mm) discoloration. The gluteal muscles can be divided into 2 groups that are responsible for the main movements of the hip joint Hip joint The hip joint is a ball-and-socket joint formed by the head of the femur and the acetabulum of the pelvis. 271 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Created for people with ongoing healthcare needs but benefits everyone. Usually asymptomatic; affects the head, neck, back, or. 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. Y Gluteal Cleft. A paddle is placed on the lateral side of the operative leg at about midcalf level to protect the leg. This procedure is performed by first marking the “safety zone” of the gluteal cleft. 2 months at imaging were included in the study. teal cleft than pressure sore which happen due to force abrasively folded inward in both buttocks (Fig. 02 - other international versions of ICD-10 M76. Of patients undergoing screening for OSD as part of cutaneous stigmata identification, up to 8% had asymmetric gluteal cleft deviation and 7% presented. 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. The sciatic nerve is the longest nerve in the body, and it runs from the lower back, through the buttocks, and down the legs. 621 may differ. @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. Inverse psoriasis lesions were identified in the axilla, inguinal crease, gluteal cleft, genitalia, and umbilicus. One or both buttocks. Vulval cysts are dome-shaped, firm or fluctuant,. The size of the defect ranged between 3. read more. The patient has an unusual sacral crease and sacral dimple. Common causes of tight glutes include: sitting for long periods of time. g. en duration of symptoms, increase lesion healing, and decrease viral shedding time. 8. Outlook. Physical examination revealed a round. Download MyChart to connect with your care team. Yes my son has that. (Y-shaped) gluteal cleft in 3 8. deep natal cleft; increased hair density in the natal cleft region; family history; Symptoms. Failure to do so may result in. This gap allows food, liquid, and saliva to pass through the larynx into the lungs. This is the American ICD-10-CM version of M25. The most common areas include: Between toes. Case 1. 14,15 In the present study,we focused on these low-risk lesions, examining the roleof,validityof, and needforhigh-quality USexamination inaffectedinfants. A full thickness skin flap is mobilized across the gluteal cleft to create an off-midline closure (Fig. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. An odor from draining pus. The atypical type of lobster-claw deformity (U-shaped defect) which only involved the right hand of this infant. These symptoms include a tuft of hair. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Pregnancy was. Porokeratosis is an uncommon disorder of keratinization that presents with keratotic papules or annular plaques that expand centrifugally with a thread-like elevated border. 419 may differ. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. The fissure in the underlying bone is from the imperfect fusion of two halves of the jaw bone. Tethered spinal cord syndrome may go undiagnosed until adulthood, when sensory and motor problems and loss of bowel and bladder control. 89 specifies anus/rectum, M53. They are small, bean-shaped glands that play a crucial role in the immune system. S. Share. She took some pictures and sent them to a neurosurgeon who said we. It occurs as a dermal indentation, found along the midline of the neuraxis and often presents alongside infection and neurological deficit. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an “inverted champagne bottle” appearance . Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. . The symptoms of deep gluteal syndrome are usually caused by the muscles, bones, or other parts of your gluteus pushing on the nerves in that part of your body, including the sciatic nerve. The Bascom cleft lift closure involves excision of the skin and sinus tracts and mobilization of a skin flap across the gluteal cleft. Hypothesis Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. -Fifth disease. poor form while exercising. Pregnancy was complicated by maternal obesity, mild intermittent asthma, hyperthyroidism, allergic rhinitis, anemia, and sickle cell trait. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. Posted 06-24-17. The gluteal region is an anatomically important area at the posterior aspect of the pelvis, which contains muscles critical to dynamic movements and upright stability of humans. If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. It is treated with topical steroids, prescription. In men, other locations for genital herpes infection include: Head and shaft of penis. Ultrasound imaging (USI) provides a visual means to explore muscle thickness throughout movement; however,. During the exam the doctor asked if anyone at the hospital mentioned our daughters "y cleft". However, it does not mean that they would have been happier with the results from any of. Coccydynia is a common condition that is known to be difficult to evaluate and treat. Because of this, any condition affecting your spinal cord or spinal nerves can cause symptoms that affect dermatomes. Design: Before-and-after trial. Myalgia is pain in muscles, and since your Dr. Kaitlin N. Type A. Had our first well check today and scheduled an ultrasound. 4). -Parvovirus B19. This is the American ICD-10-CM version of Q82. 6%, it is an extremely effective option for patients with complex and recurrent disease. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. Ahn, Molly J. Usually occur in combination of other masses, e. The 2024 edition of ICD-10-CM Q82. 2011 Mar;32 (3):109-13. Moral of the Morsel. Pilonidal cysts always occur within the gluteal cleft at the top of the 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 gluteus maximus muscles. The following code (s) above S13. The distinctive anatomic and radiologic features are discussed. The American Society of Colon and Rectal Surgeons recommends that flap-based procedures be considered in the setting of complex and recurrent pilonidal disease. In our opinion, an MRI scan should be performed at 6 months of age in every children with lumbar or perineal hemangioma regardless the lesion size, neurological symptoms or the ultrasound results. Prevention. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. The shape of the back muscles sends perspiration down down the gluteal cleft. A gluteus tear occurs when one of the tendons that holds your gluteal muscles and bones together partially or completely tears. Answer: Sacaral dimple. Abnormalities such as gluteal cleft anomalies, lipoma, abnormal hair, and congenital dermal sinus should alert the pediatrician. Feb 4, 2023 at 3:55 PM. She denied fever, chills, weakness, fatigue. I’ve noticed my baby has a Y shaped cleft on her bottom. Treatment of a gluteal injury depends upon the type of the trauma. Sacral Dimple. Sacral dimples. The symptoms of levator ani syndrome include pain high in the rectum that may be: irregular and spontaneous. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. It occurs under the skin between the buttocks (the natal cleft) a short distance above the back passage (anus). CONCLUSION. To the Editor: Verrucous porokeratosis of the gluteal cleft is a rare skin condition that has distinct clinical and histologic features. ed hemangioma, isolated asymmetrically deviated gluteal cleft, isolated symmetrically deviated (Y-shaped) gluteal cleft, “other isolated cutaneous stigmata,” a combination of 2 or more of any of the cutaneous markers listed above (“multiple cutaneous stigmata”), or a congenital malfor-mation/syndrome or symptom complex associated with 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. Bony defects of the spine or soft tissue defects. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. gluteus maximus. DX? dmaec True Blue. In more serious cases, the symptoms of dead butt syndrome can cause pain and stiffness elsewhere. , lipoma), or a caudal appendage requires further investigation. It's a type of neural tube defect. Other granulomatous conditions occurring in the gluteal cleft such as Crohn’s disease, mycetoma, perianal tuberculosis and syphilitic granuloma can present similarly to PSD. Has anyone had any expierence with this ? Q82. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. I hope the paediatrician is able to reassure you. Y shaped gluteal cleft. Keep the area clean and dry, using an ointment like for diaper rash, then an absorbent powder, if necessary. As a child he had a dermal sinus tract resected by a general surgeon, who. 7%). Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Other names. 15 result found: ICD-10-CM Diagnosis Code M76. In its. 6 became effective on October 1, 2023. 419 became effective on October 1, 2023. These markings include an advancement flap superiorly, and a rotation flap inferiorly. Symptoms include pain, drainage of pus and a lump under the skin from chronic infection in these areas. It's a y shaped divot above DDs butt. Cleft hand, otherwise referred to as ectrodactyly or colloquially as "split hand," is defined as a central longitudinal deficiency expressed as suppression of bone and soft tissues in the central elements of the hand, including the index, middle, and ring fingers. Hospital bag checklist. Sometimes visible, they are sagittally symmetrical indentations on the lower back, just superior to the gluteal cleft. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. This classi-fication system is still frequently used in the literature. g. Download the BabyCentre app Opens a new window. Congenital dermal sinus is an uncommon form of cranial or spinal dysraphism. By this I mean, at the top of his bum crease, it veers to the right. It is mostly associated with drug overdose, alcohol intoxication and prolonged immobilization. A sacral dimple. a 1. Epidermoid cyst. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks.