This is the American ICD-10-CM version of Q35. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation,Had our first well check today and scheduled an ultrasound. Pediatric ENT and Head and Neck Surgery 42 years experience. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. , 2009). Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. This is the American ICD-10-CM version of Q82. The. #5. Code. Sacral dimples. Combinations of deviated or duplicated gluteal crease + dimple, deviated or duplicated crease + hair, and dimple + hair were common groupings. Fig. nervous system sacral dimples Pediatrics in. Gluteal cleft is the vertical partition which separates buttocks. ”. If this happens, no feedings should be given until the newborn has been examined. 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. 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. He had an ultrasound at a week old and it was negative. Hi moms! I am a FTM with 2 week old. Babies with congenital hip dislocation can also have asymmetrical gluteal folds. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . Findings present in 11% of healthy newborns are unlikely to be useful markers for a rare condition like OSD (estimated incidence 0. 5 cm from the anal. Diagnosis and Referral Pathway for DDH This DDH Diagnosis Pathway is appropriate for metropolitan regions and also for remote regions that lack access to reliable hip ultrasonography. This is the American ICD-10-CM version of Q36. Applicable To. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Code. 4 Patient operative positioning. This is mostly a problem with HSG preoperative evaluation. 2 deletion. Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. After reviewing the case, we decided to design the inferior flap as a laterally. basically, the top of his bum crack. 02). In association with other OSD associated congenital abnormalities like CEARMSGuideline for investigation of lumbosacral skin lesions in newborn infants WAHT-PAE-016 Page 1 of 6 Version 3. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Fetal macrosomia, one of most important fetal growth disorders, is defined as “a weight at birth higher than the 90 th. 155 Other ear, nose, mouth and throat diagnoses with cc. I made the mistake of googling, and it says it could be a sign of spina bifida or tethered spine. Since that time, the operation has evolved and improved to the procedure practiced by The Sternberg. a birthmark in the area. A duplicated gluteal cleft associated with occult spinal dysraphism. hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. Within 90 days. This area is the groove between the buttocks that. Each referred participant was risk stratified based on specific physical exam findings. These sinuses are thought to result from abnormal separation of the cutaneous and. Feb 4, 2023 at 3:55 PM. [email protected] uvula. During colonoscopy, evidence of. basically, the top of his bum crack makes a y shape…15 result found: ICD-10-CM Diagnosis Code M76. Figure 2. 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 mass). For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. This is the American ICD-10-CM version of P01. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. The internet is a wonderful resourceWe would like to show you a description here but the site won’t allow us. 9% were worse. For other babies, only part of the palate is open. g. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. 1. 5 became effective on October 1, 2023. Any dimple lying superior to the gluteal cleft, outside the midline, and with a diameter greater than 5 mm commonly accompanies a spinal anomaly and warrants radiological investigation such as an MRI. The crease is nearly always present and usually not perfectly symmetrical. Expand all. Our study found that cutaneous lumbosacral findings are more common in well newborns than previously reported. 8. Q82. b Lateral overview showing oblique positioning of the heads. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple) Asymmetry. 5cms from anal verge o Vascular lesion e. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. 1 Global variations in incidence have been reported, ranging from 0. 6 Therefore, we could consider these patients low risk for having OSD. 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. rare skin condition that has distinct clinical and histologic features. 419 became effective on October 1, 2023. Medical problems commonly associated with 22q11. Applicable To. [Billable] [POA Exempt] There's more to see -- the rest of this topic is available only to subscribers. nervous system sacral dimples Pediatrics in Review Vol. SPINE: Normal curvature with no defects or dimples. 5 - other international versions of ICD-10 P01. 730 became effective on October 1, 2023. This is caused by an abnormal. 0 Bilateral Incomplete cleft lip 749. , four cases of asymmetrical gluteal fold, two cases of dermal sinus, one case of hairy tuft, one. 4). F. basically, the top of his bum crack makes a y shape when squished together instead of staying straight. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. Applicable To. Congenital dermal sinus is an uncommon form of cranial or spinal dysraphism. , 2013. 4 GUIDELINE FOR INVESTIGATION OF LUMBOSACRAL. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Infantile psoriasis is uncommon, and when it occurs it most typically affects the inguinal folds and gluteal cleft. The universal screening picked up a type IIa DDH in 44. Decision to use ultrasound vs MRI as first-line imaging is somewhat institution dependent G. Leopold, MD ; Edward S. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. A recent meta-analysis of 6,143 studies by Stauffer et al. This is the American ICD-10-CM version of Q35. It's usually just above the crease between the buttocks. little man has a duplicated gluteal cleft. Synonyms: aberrant forearm flexor muscle, aberrant. In the pressure ulcer, the most important etiologic factor is pressure. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. 04%). Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Applicable To. Myalgia is pain in muscles, and since your Dr. This could be a sign of a spinal cord tether, spinabifida etc. Most sacral dimples are harmless and don't need treatment. Of 1096 infants included in the study, 24. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. The gluteal cleft of the left twin (black arrowhead) and the three lower. I’m worried sick 😩😭. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. Oct 16, 2008 #2 you're joking right? ? M. basically, the top of his bum crack makes a y shape…Of 1096 infants included in the study, 24. A neonate Caucasian girl, a product of an uncomplicated pregnancy, was found to have asymmetric gluteal crease. Now I’m freaking myself out because everything you see on google says tethered spinal cord. 2 became effective on October 1, 2023. Congratulations on your new baby. Similar. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. This persisted at 6-month follow up imaging. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. A cleft lip and cleft palate are openings in a baby's upper lip or roof of the mouth (palate). 1). What is a Pilonidial Cyst? The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). Figure 4. This is the American ICD-10-CM version of Q82. 2, 3 It is most commonly encountered in young men in their 20s and 30s, although women can also be affected. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. 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). 100 749. There are many approaches to examining a newborn, many of which are acceptable. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. 24. Collapse all. Spinal sonography showed a polycyclic echo-free mass mea- suring 29 18 mm (l " Fig. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. Q79. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation, Anomalies of the gluteal crease had the lowest proportion of agreement. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. nervous system sacral dimples Pediatrics in Review Vol. 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. Therefore, a deviated or duplicated (“split”) gluteal cleft (Fig. non-midline lesion, forked gluteal cleft, coccygeal pit. So my newborn I noticed has a shallow, small dimple right above her butt crack, and she does have a hairy back. Bilateral gluteal tendinitis; Gluteal tendinitis of left hip; Left gluteal tendinitis; Tendinitis of bilateral gluteal tendons. Congenital dermal sinuses represent cutaneous depressions or tracts that are lined by stratified squamous epithelium. Cleft palate, unspecified. Approximate Synonyms. 7%, slate-grey patches in 44. • Gluteal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant further evaluation. 0 became effective on October 1, 2023. This is the American ICD-10-CM version of Q82. The 2024 edition of ICD-10-CM Q82. 49. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. If the base could not be seen, this would be called a coccygeal pit. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. Remove the tibia and fibula. 32 No. Subcutaneous lipomas. Present On Admission. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. It occurs as a dermal indentation, found along the midline of the neuraxis and often presents alongside infection and neurological deficit. 96. The 2024 edition of ICD-10-CM M67. Figure 3. She denied fever, chills, weakness, fatigue. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. little man has a duplicated gluteal cleft. k. 8%. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Here are some other things that have been done by or suggested by the Doctors. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. George Karydakis in 1973. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. Gluteal cleft. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. ings in newborn infants. gluteal cleft newborn Our baby’s name creator can help you find a new and unique name for your child. This is the American ICD-10-CM version of Q36. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma. 3 March 2011 111 Each referred participant was risk stratified based on specific physical exam findings. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 27 This study also evaluated 207 neonates with cutaneous stigmas and found that none of the infants with a simple midline dimple (meeting none of the criteria listed above) had spinal dysraphism. Our study found that cutaneous lumbosacral findings are more common in well newborns than previously reported. Best answers. Although fistulas above the gluteal cleft may be. . They believe everything is okay after her Neurodevelopmental eval but we monitor her for any changes in behavior as she gets older. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple)A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. Atypical dimples may be located higher up on the back or off to the side. 13 Q36. Q35. The number and severity of symptoms associated with 22q11. a. The code is exempt from present on admission (POA) reporting for inpatient. 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. Bust get. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. 1 became effective on October 1, 2023. 5cm from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation, fatty lump, vascular lesions, atretic meningocele, dermal sinus. Code Tree. nervous system sacral dimples Pediatrics in Review Vol. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 5 cm above the anus) and. 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. 9 Bilateral Complete cleft lip 749. Q82. Anusol wipes. In addition, in a study by Lode HM et al. 5 weeks old and is still yellow. 1a,b). 419 may differ. The patient is intubated on a sterile draw. 6%, dimples in 16%, increased lumbosacral/coccygeal hair in 24. A duplicated gluteal cleft associated with occult spinal dysraphism. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. They are a rare type of ear deformities. Results. 5 cm above the anus) and solitary. . 3 March 2011 111. Medially, it is separated by an intergluteal cleft, while laterally, it is bordered by the hip region. vaginal cyst. Histology showed a benign intradermal naevus. 95. Stumbling or changes in gait or walking. Type 1 Excludes. @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. The 2024 edition of ICD-10-CM Q36. Birth weight is down by 5. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. For patients with certain risk factors and a normal examination the Guidelines of the American Academy of Pediatrics state, “…imaging with an. With thousands of award-winning articles and community groups, you can track your. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. 6% had dimples, and 24. Causes. · No relation to gluteal cleft · Distance from anus >2. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . Specialty: General Surgery. The horizontal pattern of bruising also corresponds to areas of shear strain of. Home. This is the American ICD-10-CM version of M67. Off-midline closure procedures such as the Karydakis flap and the Bascom cleft lift , which remove the pilonidal disease, flatten the gluteal cleft, and bring the incision off the midline. ), and relevant articles were selected by mutual agreement. from publication: Spinal Sonography in Infants with Cutaneous birth Markers in the Lumbo-Sacral Region – an Important Sign of Occult Spinal Dysrhaphism and Tethered. Pathology showed squamous cell carcinoma with tumor-free margins, and further imaging showed no evidence of. 02) and (2) deviated gluteal crease (P = . Figure 2. But these lesions are limited to the gluteal cleft whereas a dermal sinus tract originates above the cleft and can interconnect with the spinal canal and dura mater. E. Cleft lips and cleft palates happen when tissues of the upper lip and roof of the mouth don't join together properly during fetal development. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. Similar. in2007 on newborns with lumbosacral skin anomalies (i. Applicable To. This is the American ICD-10-CM version of Q84. It causes a deformity of the lip, nose and upper jaw. RESULTS. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). 5 cm; (3) located within the superior portion of the gluteal crease or above (greater than 2. The 2024 edition of ICD-10-CM Q82. 5 should be used on the newborn record - not on the maternal record. basically, the top of his bum crack makes a y shape…P54. 4. little man has a duplicated gluteal cleft. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 8 is a billable diagnosis code used to specify other congenital malformations of musculoskeletal system. Mark: Sounds as though you may have developed a fissure, or something like it. Dimensions of the proposed intramuscular pocket are designed and the bilateral gluteal cleft incisions are marked. In very mild cases, such as isolated. Created for people with ongoing healthcare needs but benefits everyone. and E. Answer: Sacaral dimple. P13. little man has a duplicated gluteal cleft. A decision-analytic model was constructed to project the cost and health outcomes of magnetic resonance imaging (MRI), ultrasound (US), plain radiographs, and no imaging in newborns with suspected occult spinal dysraphism. 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. Combinations of deviated or duplicated gluteal crease + dimple, deviated or duplicated crease + hair, and dimple + hair were common groupings. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. A pilonidal cyst can be extremely painful especially when sitting. Dear Genius39459, it is hard to tell for sure without an examination. Some consider the term spina bifida occulta. The 2024 edition of ICD-10-CM M26. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. This is the American ICD-10-CM version of Q82. 7% had lumbosacral and/or coccygeal hairiness. 6 - other international versions of ICD-10 Q82. View all the articles associated with any code, right from the code page! Thank you for choosing Find-A. Study with Quizlet and memorize flashcards containing terms like True or False: a cleft lip occurs when there is a flare of primary and secondary palates to fuse fetal development, True or False: Spina bifida myelomengingocele occurs when there is a protrusion of the spinal cord and meninges, and is the most DIFFICULT spina bifida to treat, Prevent. In person evaluation is needed. Messages 1,130 Location Hibbing, MN Best answers 0. All newborns undergo an examination of the. 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. A cleft lip is a birth defect that results in a unilateral or bilateral opening in the upper lip between the mouth and the nose. 2. P92. non-midline lesion, forked gluteal cleft, coccygeal pit. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Posted 06-05-18. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. The cystic mass extended into a dilation of the central canal due to. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. A Caucasian female neonate with abnormal gluteal cleft had ventriculus terminalis cyst with an extra-axial cyst at the conus–filar junction and taut lipomatous filum on ultrasound examination and magnetic resonance imaging. Neurological examination was normal, and subsequent urodynamics study was also normal. They are not harmful to one’s health and do not necessitate. BACKGROUND AND INCIDENCE. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. This is the American ICD-10-CM version of P01. [Zywicke, 2011] Neural Tube Defects: [Zywicke, 2011] Open vs Closed. This is the American ICD-10-CM version of P92. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. 8% had deviated or duplicated gluteal creases, 15. little man has a duplicated gluteal cleft. A lump of the lower back. 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). Some asian groups have as high as 1 in 250 births with cleft, caucasians about. P83 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. a dimple larger or deeper than 5 millimeters (mm) discoloration. This is the American ICD-10-CM version of Q84. John Bascom in 1987. [1]. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. has demonstrated the high failure rate of the excisional procedures . not so much: Pilonidal "dimples" are properly called "pits", are always in the midline in the gluteal cleft, and are where infection of the pilonidal cyst starts, as dislodged hairs can work themselves into these. 5 cm above the anus) and solitary. Read More. 5 cm above the anus) and solitary. Applicable To. long trunk, Y-shaped gluteal cleft, anteriorly displaced anus, clinodactyly, deep furrow and increased space between first and second toes, central and peripheral hypotonia, complete agenesis. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. there is a duplicated gluteal cleft; there is more than one dimple; the dimple lies outside the sacrococcygeal region; there are any neurological abnormalities noted; The above may be associated with an underlying neurological problem, for example spinal dysraphism. 5cm · >5mm diameter · Not midline in location · Base not visible (Schenk, 2006) Return to Referral and Diagnosis Return to Surgery and Follow-up Simple Sacral Intragluteal Dimple Dimple within a symmetric gluteal crease AND less than 5 m i nd a etrWITH h sc u abno m l it es A soc ia t. A pilonidal cyst is a fluid-filled sac under the skin in the lower back, near the crease of the buttocks. The 2024 edition of ICD-10-CM Q35. teal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant fur-ther evaluation. Q84. 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. 8% had deviated or duplicated gluteal creases, 15. Physical examination findings that prompted a spinal ultrasound included isolated deep sacral dimple (34%); deep sacral dimple in association with other. Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. 120 Q36. 8 - other international versions of ICD-10 Q63. 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. basically, the top of his bum crack makes a y shape…Red Flags! •Midline (or near-midline) tuft of hair (hypertrichosis) •Midline (or near-midline) capillary hemangioma •Midline (or near-midline) subcutaneous mass (lipoma) •Caudal appendage •Deviated or duplicated gluteal cleft •Expression of fluid from dimple •Dimple located more caudally •Inability to see base •Swelling/erythema around.