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. The sciatic nerve is the longest nerve in the body, and it runs from the lower back, through the buttocks, and down the legs. Following clinical. The patient has an unusual sacral crease and sacral dimple. Symptoms you should never ignore. Y Gluteal Cleft. We'd never heard of it before. ADHD Symptoms in Adults. He underwent elective spinal cord detethering via the safe and e ective, He underwent elective spinal cord detethering via the safe and e ective,Although there is a low incidence of TCS in neonates with simple dimple and deviated gluteal fold (DGF), the optimal diagnostic workupfor these infants remains unclear. 2. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. The negative pressure drives hair deeper into the sinus and appears to be exaggerated with a deep gluteal cleft. It is caused by the maldevelopment of the ectodermal, mesodermal, and neuroectodermal tissues. I’ve noticed my baby has a Y shaped cleft on her bottom. Gregory. September 2014. How is a perianal dermatosis diagnosed? Perianal dermatoses are diagnosed by taking a comprehensive history, including hygiene practices, use of tight-fitting clothing, bowel habits, use of topical preparations, systemic symptoms, associated medical conditions, personal and family history of skin conditions, and response to treatment. g. 8. Get on all fours on. A paddle is placed on the lateral side of the operative leg at about midcalf level to protect the leg. The rotating of tissue causes the gluteal cleft to shift. She took some pictures and sent them to a neurosurgeon who said we. This scoring system does not include the pubis, inguinal folds, perianal region, or the gluteal cleft. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. Sign in to MyChart. Posted 07-28-08. Fig. Diagnosis. Leopold, Edward S. 4. The lumps heal slowly, recur, and can lead to tunnels under. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. S. The gluteal cleft is just above the anus. Messages 1,130 Location Hibbing, MN Best answers 0. The pilonidal sinus usually starts as a. a dimple larger or deeper than 5 millimeters (mm) discoloration. I’ve noticed my baby has a Y shaped cleft on her bottom. sPGA-G is a 6-point numerical scale that ranges from 0 (clear) to 5 (very severe) at a given time point and is determined by a combination of three plaque characteristics (erythema, elevation, and scale). M85. evaluation of a Y-shaped gluteal cle . Generally, the phalanges of the. The uvula is split from one quarter to three quarters of its length. Gluteus Maximus are a group of muscles. Pain. Mar 18, 2018 · Y shaped gluteal waiting for scan. The Dr said its not attached & not to worry. Hey Ladies As the tittle says I am currently waiting on a back scan for my little man hes 14 weeks old hes got a y shaped gluteal cleft, it feels dead boney…A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. en duration of symptoms, increase lesion healing, and decrease viral shedding time. It is also the most superficial, producing the shape of the buttocks. ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. But if it's infected, the skin around the cyst may be swollen and painful. The risks of these spinal problems increase if the sacral dimple is accompanied by a nearby tuft of hair, skin tag or lump, and certain types of skin discoloration See moreVariation in initial management of neonatal lumbosacral findings by clinicians in the BORN Network was seen most often for. 17, 2023. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). Unusual gluteal cleft (bum crack) h. 564 Other musculoskeletal system and connective tissue diagnoses with mcc; 565 Other musculoskeletal system and connective tissue diagnoses with cc; 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc; Convert. Coccydynia is a common condition that is known to be difficult to evaluate and treat. Keep in mind that this is a disease based on the skin of the gluteal cleft being excessively folded, such that the skin of the cleft is almost always pressed against the skin from the opposite side. 4 may differ. Some are isolated and some are associated with syndromes, so. The frequency of the cleft chin varies widely among different populations. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. It is mostly associated with drug overdose, alcohol intoxication and prolonged immobilization. 271 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 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. Vascular loop is around the filum. This condition is characterized by being [6]: Non-discogenic. My son, 18 weeks (born 2 weeks early), has a crooked bum. At her check up her doctor noticed that she has a y shaped gluteal crease. 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. If psoriasis affects the gluteal cleft, the skin can appear. I'm on this particular Dx right now with a progress note - "Pain in Right Gluteal Region". Gluteal cleft. This gap allows food, liquid, and saliva to pass through the larynx into the lungs. A butt bruise, or gluteal contusion, is an injury to the gluteal muscles of the buttocks caused by damage to muscle fibers and blood vessels, resulting in bleeding under the skin. 02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. J Cutan Pathol. They are the second most common congenital disability after congenital heart defects [ 1 ]. The two major types of spinal dysraphism are based on the appearance, i. I can’t help but worry!!! 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 Y shaped gluteal waiting for scan | BabyCentre. Hypertrichosis. Dimples that may require further investigation are those that are large. 12 They are generally safe; the main adverse effects of oral therapy are nausea, vomiting, and diarrhea. Atypical dimples may be located higher up on the back or off to the side. Follow your baby's amazing development. In many situations they heal on their own. Figure 1. This means that the butt crack will appear off-center. This means that the butt crack will appear off-center. With an overall success rate of 96. Labia majora and minora. Ringworm infection of the feet might show redness and blisters in addition to scaling. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. He did great & slept through the whole thing. (Y-shaped) gluteal cleft in 3 8. Jock itch causes an itchy, stinging, burning rash on the skin around your groin, inner thighs and butt crack (gluteal cleft). Spina bifida is a birth defect that occurs when the spine and spinal cord don't form properly. Have any other moms on here. There is a necessity for detailed embryological knowledge for a better. NT scan. Occult spinal dysraphism is a congenital failure of fusion of the posterior vertebral arches with intact skin overlying the defect. Intertrigo is due to genetic and environmental factors. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. matomyelia. Given the new onset of symptoms, it is likely that the boy is experiencing some symp-toms attributable to tethering secondary to the split cord malformation. 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef. Pilonidal disease is usually found at the upper end of the gluteal cleft, but has been reported as a painless papule or nodule on the vulva, particularly in the area around the clitoris,. 419 may differ. 90. Y Shaped Bottom Cleft. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. Iliotibial band, gluteal tuberosity of the femur; Inferior gluteal nerve: arises from L5, S1, S2; Lateral rotation and extension of the hip joint; Abduction (upper fibers) and adduction (lower fibers) of the thigh; Gluteus medius: Outer surface of the ilium, between the iliac crest and the anterior and posterior gluteal lines; Greater trochanterGluteal compartment syndrome as a result of fall or trauma has rarely been reported. Sacral Dimple. 2). evaluation of a Y-shaped gluteal cle . Subcutaneous lipomas. 2020 Nov; 47 (11):1050-1053 Epub 2020 Sept 10 View PubMed A 1-day-old girl is seen for routine care in the newborn nursery. The vast majority of babies diagnosed with a laryngeal cleft are born with this condition. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. 3 answers / Last post: 12/07/2018 at 8:49 pm. The gluteal region refers to the general region of the. Pathologic entities in the gluteal region reflect the diversity of tissue types present. Posted 06-05-18. -"slapped cheek" rash, butterfly rash. The risks of these spinal problems increase if the sacral dimple is accompanied by a nearby tuft of hair, skin tag or lump, and certain types of skin discoloration Variation in initial management of neonatal lumbosacral findings by clinicians in the BORN Network was seen most often for deviations of the gluteal crease, flat vascular macules, and coccygeal hair. Midline pore or pit: in the center of the gluteal crease, normal skin pores can become enlarged. a sense of pressure. I’ve noticed my baby has a Y shaped cleft on her bottom. The patient was born at 40 weeks and 1 day of gestation to a 21-year-old gravida 2 now para 2 mother by vaginal delivery. 12,13. If the base could not be seen, this would be called a coccygeal pit. [1][2] It is a key conduit for. The size of the defect ranged between 3. The atypical type of lobster-claw deformity (U-shaped defect) which only involved the right hand of this infant. Pediatr Rev. They did an ultrasound of his booty & spine when he was like a week old. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. erally over the gluteal cleft. A cosmetic desire to boost the volume and shape of the buttocks. 2020 Nov; 47 (11):1050-1053 Epub 2020 Sept 10. 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. I read. 0):. As a child he had a dermal sinus tract resected by a general surgeon, who. Symptoms and signs vary depending on the severity of the disease. If the base could not be seen, this would be called a coccygeal pit. Abstract. The 2024 edition of ICD-10-CM P83 became effective on October 1, 2023. 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. An area that feels hot to the touch. Pus or blood leaking from an opening in the skin. Now I’m freaking myself out because everything you see on google says tethered spinal cord. TreatmentBoston Children’s Hospital. 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,. 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. I've never heard of such a thing before he was born. Abnormalities such as gluteal cleft anomalies, lipoma, abnormal hair, and congenital dermal sinus should alert the pediatrician. My daughter has a crooked butt crack, called an asymmetrical gluteal cleft. The most common symptoms of a labral tear in your hip include: Hip pain (especially when you bend, move, exercise or play sports). Hip stability and function of the gluteus maximus is maintained, as the neurovascular supply is kept intact. The y shaped gluteal cleft and a tuft of hair can both be signs of a tethered spinal cord. Because of this, any condition affecting your spinal cord or spinal nerves can cause symptoms that affect dermatomes. 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. 722 may differ. A dimple above the gluteal crease (the crease in the buttocks) Long hair. Symptoms of this syndrome include: lower back pain; leg pain or numbness; leg weakness; difficulty walking; foot or spinal deformities; high-arched feet and hammertoesDuplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. Anal fissure presents as a small oval-shaped tear in skin along the natal cleft. 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. She denied fever, chills, weakness, fatigue. Many hip labral tears cause no signs or symptoms. Nerve entrapment in the deep gluteal space. 6 may differ. The gluteal cleft refers to the separation of the buttocks. Type C. ”. As the tittle says I am currently waiting on a back scan for my little man hes 14 weeks old hes got a y shaped gluteal cleft, it feels dead boney where this is. Code Tree. It's a y shaped divot above DDs butt. Genital psoriasis can be very uncomfortable and even embarrassing. 2, 3 Abnormal antenatal US scan of spinal column 4. The main artery in the gluteal region is the internal iliac artery, which gives off branches, namely the superior gluteal artery, inferior gluteal artery, and internal pudendal artery. The symptoms of levator ani syndrome include pain high in the rectum that may be: irregular and spontaneous. Bony defects of the spine or soft tissue defects. Read about recovery time, diagnostic tests, and prevention. It can be performed in the primary patient without perianal disease, with a 98. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. They are small, bean-shaped glands that play a crucial role in the immune system. Synonyms: brachydactyly of hand, brachymetacarpia, congenital. Cervix. B: Sagittal unenhanced. Best answers. Lower and repeat 15 to 20 times. , lipomas, teratomas, etc. However, it does not mean that they would have been happier with the results from any of. [ Wilson, 2016] Should be overlying the sacral bone or towards the gluteal. Not necessarily: The rose colored birthmark is likely the same as many have at the base of the neck called a stork's bite. Q82. kdmahnke13. This muscle group consists of the gluteus maximus, gluteus medius, gluteus minimus and tensor fasciae latae. Sacral dimples. states "Butt" that is less specific than "Gluteus Maximus". Rarely, a pilonidal sinus occurs in other sites of the body. 6 - Congenital sacral dimple. The symptoms of pilonidal disease can vary from a small dimple to a large painful swelling or mass. , hemangiomas. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. M76. Hair and other debris from skin or clothing can lodge in the pores. g. [1] Classically, this results in a "V-shaped" cleft in the hand with a variable degree of deformity. 8 may differ. Erythema intertrigo. -may appear on trunk and spread to limbs but often spares the palms and soles. The gluteal fat is allowed to appose and excess skin is excised to re-contour the natal cleft and allow a shallower closure away from the midline. Serivera521. Feb 4, 2023 at 3:55 PM. HM44. 1 Gluteal Shape. Symptoms include pain, drainage of pus and a lump under the skin from chronic infection in these areas. a dull ache. Their clinical finding shows the L4/5 level is the main level responsible for gluteal pain in lumbar disc hernia. Q71. Cleft palate, unspecified. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. With thousands of award-winning articles and community groups, you can track your. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. Sacral dimples can be “typical” or “atypical”. 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. The diagnosis might be made by a combination of clinical symptoms and abnormal electrodiagnostic testing. A crooked crease between the buttocks. The use of a Doughnut shaped cushion is often recommended so that there is less pressure on the lesion. October 01, 2021Signs & Symptoms. 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. Physical examination revealed a round. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. Anal fissure presents as a small oval-shaped tear in skin along the natal cleft. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. In very mild cases, such as isolated. 621 may differ. B: After sectioning the. A 1-day-old girl is seen for routine care in the newborn nursery. The lipomas are located along with the filum terminale (arrows). you should probably see a dr. This is the American ICD-10-CM version of M25. As a person sits or bends, the skin around the gluteal cleft can stretch and damage hair follicles, causing pores or “pits” to open in the cleft. A locking, clicking or catching sensation in the hip joint. a 1. The cleft lift is an excellent operation for pilonidal disease. . This is not noticed when your child has on clothing. 14,15 In the present study,we focused on these low-risk lesions, examining the roleof,validityof, and needforhigh-quality USexamination inaffectedinfants. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. The condition, which has an annual. Rarely, they can be indicative of underlying spinal defects. 4,437 satisfied customers. Type I patterns were superior to the gluteal cleft; type II were central, partially incorporating the superior portion. We had our 2 week pediatrician appt this afrernoon. Dr. During the exam the doctor asked if anyone at the hospital mentioned our daughters "y cleft". Gluteus minimus is the smallest muscle of the glutei. Study with Quizlet and memorize flashcards containing terms like Pilonidal disease , Cellulitis , Erysipelas and more. The superior tip of the intergluteal cleft. Signs and symptoms may include weakness or numbness in the legs and bladder or bowel incontinence. Common causes of tight glutes include: sitting for long periods of time. 722 became effective on October 1, 2023. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. The following code (s) above M25. A pilonidal cyst may cause symptoms, especially if it becomes infected. Rarely, they can be indicative of underlying spinal defects. The gluteal cleft and the gluteal fold both occur normally in humans. 89. 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. while you wait for your appointment as you are only going to find the horror stories as most babies with this have no symptoms and it is normal so are not documented on the internet. They start in the midline, but may track out to either the right or left side where an abscess forms. NO BIGGIE, unless it's really deep, which you didn't mention. They may be associated with a tuft of hair. s. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. Not Included Here. Friction from the movement of adjacent skin results in chafing. Neural tube defects are congenital anomalies of neural development with a spectrum of clinical manifestations; they can affect the cranium or spine. Other cyst of bone, right upper arm. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. Failure to do so may result in. The gluteal cleft is an anatomical characteristic found in both males and females. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. Flexural skin has a relatively high surface temperature. I see them occasionally from the gluteal cleft to the top of the head but usually in the mid-line. The gluteal region is located at the back of the body, representing the transition point between the trunk and the lower limbs. Physical therapy exercises can help, although some people need other interventions. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. These symptoms include a tuft of hair. In more serious cases, the symptoms of dead butt syndrome can cause pain and stiffness elsewhere. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Abstract. 4). Definition. I almost thought they just made that up! 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 Outlook. I read. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. Ranked among the best in the nation by U. This was the first year ICD-10-CM was implemented into the HIPAA code set. 6%, it is an extremely effective option for patients with complex and recurrent disease. Of the 30 patients with inverse psoriasis, 17 patients had erythrasma, corresponding to a prevalence of 57 percent. subcutaneous mass (e. a patch of hair by the dimple. published in BMC Musculoskeletal Disorders have added to the weight of evidence supporting association between gluteal pain and lumbar disc hernia. 89 specifies anus/rectum, M53. 15 result found: ICD-10-CM Diagnosis Code M76. This is the American ICD-10-CM version of Q35. The anatomy of the gluteal cleft in patients affected by PSD is dependent on the amount of gluteal fat and muscle and on the extent of disease on the vertical and horizontal axis. The 2024 edition of ICD-10-CM M25. Applicable To. 2011 Mar;32 (3):109-13. It covers the area from iliac crest from above to the gluteal fold below. Gluteal Pain Syndrome (DGS) is defined as pain or numbness in the buttock [4], the hip, or the posterior thigh with radiation or radicular pain in the Sciatic nerve distribution [5]. Access records and results, view and pay bills, request prescription renewals, and request appointments. And ulcers in SGD were observed in locations that force both gluteal regions to evert. gluteus maximus. It is a Y-shaped fissure on the chin. Created for people with ongoing healthcare needs but benefits. What causes a y-shaped crease at the top of newborns bum crease? i don't see a dimple. Methods We retrospectively examined clinical and imaging data, such as. Posted 18/3/18. The words literally mean “hidden split spine. It may present as an acute pilonidal abscess with pain, erythema, and induration or as a pilonidal sinus, which is an indolent wound that is resistant to spontaneous healing, and can cause significant discomfort and drainage. z. Other names. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). They don't usually cause problems or need treatment unless they get infected. This classi-fication system is still frequently used in the literature. Pilonidal disease begins as loose body hairs get caught in these pores and find their way under the skin. Not all oddities are problematic. Indications. Original poster's comments (5) 3. While a slightly asymmetrical presentation is common, a complex and large disease. Y Shaped Gluteal Crease? jomarma member. In a review of 22 patients, the main regions affected were the buttocks (36. Pain or tingling the legs or back Y shaped gluteal cleft. 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. Hi. Symptoms of genital psoriasis may occur on or around the genitals and surrounding areas, including the gluteal cleft and upper thighs. Its limits are (Fig. • Although most lesions occur in the midline, eccentric lesions are not in 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. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A common treatment method for pilonidal cysts and abscesses is incision and drainage. Cluster of abscesses under the surface of the skin; transient with random distribution; usually triggered by an infection. might be a staph infection. Read More. There are a group of patients who develop DTIs as very linear wounds with a mirror image distribution, along the edge of the medial buttocks, right along the gluteal cleft. Code. However, in many. The association of clinical symptoms with each of the specific subtypes of OSD is not well un-derstood. 419 became effective on October 1, 2023. 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. 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. Actively look for concerning findings. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. 161 contain annotation back-references that may be applicable to S13. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Setting Community private practice with. 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. Case 1. The superior tip of the intergluteal. Sacral dimples.