ICD-10-CM Diagnosis Code Q82. The fibres slope across the buttock at a 45 degree angle and insert onto the iliotibial tract and gluteal tuberosity of the. 4). Figure 4: degrees of ptosis (A) Degree zero: the crease can reach T-line but not. Depth is minimal. Also, I see in your conditions that you have anger and anxiety . It is caused by two different but similar viruses known as herpes simplex virus 1 (HSV-1) and herpes simplex virus 2 (HSV-2) . We would like to show you a description here but the site won’t allow us. No other skin changes are seen. The buttock refers to the rounded bulge in the lower part of the gluteal region. Applicable To. The 2024 edition of ICD-10-CM Q82. 4 became effective on October 1, 2023. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. Gluteal cleft Shield Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. A cosmetic desire to boost the volume and shape of the buttocks. The fasciocutaneous flap was partially dissected from the gluteal muscle until enough mobility was obtained to invert the flap into the cavity, carefully preserving the medial attachments containing the. The remaining 2 infants had 2 deep dimples within the gluteal crease. Skin ulcers cause a crater-like depression in the skin, which may weep clear fluid (called serous ), blood, or, when infected, pus. However today I was out for lunch with MIL and she started telling me about her sister who lost a child to severe spina bifida. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. Whiteheads are caused by hair follicles becoming clogged with oil & dead skin cells. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. does any of your baby have this? I will call our family doctor to have it assessed. The long elliptical shape of the flap allows coning of the tissue to form a more natural breast shape. Gluteal cleft is the vertical partition which separates buttocks. Gluteal Deadlifts. 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. Feb 4, 2023 at 3:55 PM. Download scientific diagram | A: Intraoperative photograph of thickened filum terminale or lipoma of filum terminale prior to sectioning. If it is readily visible on the back, above the upper gluteal limit, then the dimple is suspicious. 66 (P < 0. Isolated midline dimple was the most common. hemangioma, telangiectasiaBackground The buttock is the second sex feature of the human body, and the graceful buttock curve gives people confidence. Ultrasound is valuable for imaging of infants and young children and for. 6 —Prominent filum terminale in 2-week-old boy with asymmetric gluteal crease. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. 3 answers / Last post: 12/07/2018 at 8:49 pm. The World Health Organization classifies most soft tissue neoplasms according to the tissue of origin. By this I mean, at the top of his bum crease, it veers to the right. The underlying bony framework, 2. It is the most common site of intra. Table 3. Among. A sacral dimple (also termed pilonidal dimple or spinal dimple) is a small depression in the skin, located just above the buttocks. 1 The incidence of spinal dysraphism is 0. Complete 10 to 15 reps. The intergluteal cleft (a. Open bite of unspecified buttock. age 3 months, a magnetic resonance imaging (MRI) L spine revealed a lumbar lipomyelomeningocele (2. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Share. Subscribe Now:More:exercise to define the gluteal f. They can also arouse human sexuality. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. Y-shaped creases could be quite distinct with long upper creases or barely visible with short upper creases. In the authors’ opinion, the flap design and incision lines do not violate these characteristics. g. The Gluteus medius and minimus work together as hip abductors and are vital to normal. Your surgeon will proceed with caution in this area. This is the American ICD-10-CM version of Q82. l. 5 mm. Furthermore, manual palpation of the deep gluteal area should elicit recognizable pain by the patient. Natal crease: That is very normal, for newborns. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Gregory; Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. The gluteal fold flaps are based on the dense network of perforators of the internal pudendal artery near the midline of the perineum between the anus and the ischial tuberosity (Figure 2). Set the appropriate weight and adjust the leg pads for your height. Subcutaneous lipomas. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. (the top of the crease between her. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Gallegos D. The two sides of the V extend toward the supragluteal fossettes and are formed by the insertion of the gluteus maximus into the lumbodorsal aponeurosis. Rarity: Common. As an aside, plastic surgeons want you to know the “most attractive” gluteal crease is a v-shaped one. The inferior extent of the buttock is marked by a gluteal fold of skin below. Posted 18/3/18. This baby’s gluteal. Itchy skin tags. 8 cases per 1000 live births. ORIGINAL PAPER Proposed caudal appendage classification system; spinal cord tethering associated with sacrococcygeal eversion C. Squeeze your glutes as you do this. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. Finally, the “V” shape buttock is often seen in the massive weight loss patient or in patients who have an atrophic buttock with excess fat adiposity in the “love handle” area . 1055/b-0040-178170 CHAPTER 30 360° Torso Tuck with Gluteal “Wallet-Flap” AutoaugmentationDouglas S. 2. The clinical presentation of a tethered cord syndrome is quite variable with a combination of subcutaneous, neuro-logic, orthopedic, and urologic symptoms. Immunization for new born babies, best place to put injection is on the buttocks or on the arm. They are on the back of the pelvic area and give padding when people sit. A concave (bowl-shaped) sore of uniform depth and size; An oozing, reddened center; A "punch-out" border with slightly raised edges; Whitish or yellowish crusting;. R. 4). k. Many of my patients who desire a fuller, beautifully rounded backside, with great projection, opt for BBL. Definition. This topic will review the clinical manifestations, diagnosis, and management of closed spinal dysraphism. The gluteus medius is a broad, thick, radiating muscle, situated on the outer. Currently, there is no generally accepted technique for the correction of buttock ptosis. Definition. kdmahnke13. Figure 3: the waist-to-hip ratio in posterior and lateral views. There is no dimple though and she. There have been no large prospective studies of isolated gluteal cleft abnormalities. He introduced the notion of “Gluteal Suspension System”. The remaining 2 infants had 2 deep dimples within the gluteal crease. The gluteal fold flap was first described as a variation of the lotus petal flaps by Yii and Niranjan in 1996. Andrew J Sheean 1 , Justin W Arner 2 , James P Bradley 3. 1016/j. 819A - other international versions of ICD-10. Thanks to your g. Introduction. Buttock augmentation improves the contour, size and shape of the buttocks. A total of 44. 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. The patient has an unusual sacral crease and sacral dimple. Hey Ladies. March 2017 At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. g. Hi ladies i just wondered if you could help me. 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. March 2017 At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. These four muscles fill the gluteal (buttock) region and provide it with shape and form. Robert et al. Feb 4, 2023 at 3:55 PM. Transfer Left Trunk Muscle, Gluteal Artery Perforator Flap, Percutaneous Endoscopic Approach. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip. Gluteal lift can be combined with gluteal augmentation to remove redundant skin and improve the buttock shape as described by De la Pena-Salcedo and colleagues. Attachments: Originates from the gluteal (posterior) surface of the ilium, sacrum and coccyx. Then an incision was made along the gluteal crease at the desired site for the final incision. The superior gluteal nerve is found in the lower pelvis and arises from the dorsal divisions of the L4, L5, and S1 nerve roots of the sacral plexus. Coccydynia is a common condition that is known to be difficult to evaluate and treat. poor posture. Complete 10 to 15 reps. delayed muscle soreness after exercising. many men experience benign or malignant hypertrophy or hyperplasia (enlarging) of the prostate gland. 2-7. The coccygeal region has complex anatomy, much of which may contribute to or be the cause of coccyx region pain (coccydynia). Barclay W. symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. I noticed it in hospital I thought it was a crease from being sat funny in me but it didnt go away me and my husband had both noticed it feeling boney so I googled it to find its a marker for spina bifida occulta or tethered spinal cord , I went to get him checked with the midwife she said it was a. Moisture-related skin breakdown is usually characterized by superficial skin loss and irregular edges, classified as MASD (moisture associated skin damage). a. Leopold N. This is the American ICD-10-CM version of Q82. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Gluteal Deadlifts. zoemcr. Y-shaped gluteal crease: 1/1 (100%) Total: 81/87 (93%) Open in a separate window. A Brazilian butt lift is a common buttock enhancement procedure. He seems completely healthy otherwise. If an individual has this condition, it can be corrected surgically depending on the severity. Kevin Tehrani, M. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. The patient has an unusual sacral crease and sacral dimple. This area would include tissue over the ischial tuberosities, but is blanchable erythema therefore by definition not a pressure ulcer injury. Allergens to hygienic products, chemicals, or plants can also cause itchy, red bumps on on the butt. Pathologic entities in the gluteal region reflect the diversity of tissue types present. 2 months at imaging were included in the study. A sacral dimple is defined as a midline dimple less than 5 mm in diameter and no further than 2. Hill walking, running and sprinting. In 45% of the photographs, this crease was observed, formed by two lines arising in the proximal portion of the gluteal crease. Copy referenceHerpes is a common viral infection that can cause sores in the mouth or genitals. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. Bakkum, Gregory D. B: After sectioning the. An ideal method of perineal closure after resection for low rectal cancer surgery is a topic of debate. Aesthetic surgery of the buttocks encompasses many forms. 1% of study infants had lumbosacral/coccygeal. It is calculated by taking the distance around the waist at its narrowest point and by dividing the distance around the hips and buttocks at their widest points. The best way to get rid of that excess flab under your butt is to implement HIIT workouts with the right kinds of cardio. Q82. Single incision endoscopic strip craniectomy for sagittal craniosynostosis. Fig. The Q82. Doctoral Degree. It covers the area from iliac crest from above to the gluteal fold below. Steinbrech and Rocco C. All patients judged the outcome as very good. Patient safety considerations include thromboembolism. jpeds. He has a y shaped gluteal cleft right above his bottom! Of course I am…Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. With the gluteal tissue mainly supplied by the direct cutaneous perforators from the internal pudendal artery, it is now the flap of choice for vulvar reconstruction. It is also called butt crack or ass crack. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. 6% had dimples, and 24. 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. Sacral dimples can be “typical” or “atypical”. They are localized just above the gluteal furrow and usually not associated with underlying dysraphism. The skin around the ulcer can be discolored, raised, or thickened. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. Isolated midline dimple was the most common indication for imaging. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. 7 cm rostrocaudal × 1. 8. Skin surface is broken. GreenAwareness. Youssef, Seth W. Skin, Buttock. Some consider the term spina bifida occulta. In several articles, two groups of characteristics which describe constructing basis of beautiful buttocks were defined [91, 92, 99,100]. 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. Arthroscopy2021 Feb;37 (2):435-437. Many types of procedures are performed 1:. 4% (n = 15); all but 2 infants had 2 shallow depressions within the gluteal crease. Multiple dimples were encoun-tered in 1. 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. Acral localized acquired cutis laxa as presenting sign of underlying systemic amyloidosis. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. Methods: From June 2015 to June 2018, 62 patients surgically treated for vulvar cancer were included in the study. Keep your arms straight as you lift the weight with your hips and glutes. ” This crease does not reflect the lower margin of. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. The inferior extent of the buttock is marked by a gluteal fold of skin below. 29: Undescended testes: Lumbar hair: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT: Male/13. These cysts are usually caused by a skin infection and they often. Access records and results, view and pay bills, request prescription renewals, and request appointments. 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. Urinary and bowel dysfunction are nearly universal. Learn more about how to deal with. It is possible to create a new or more defined gluteal by adding volume to the buttocks through a BBL procedure. The horizontal gluteal crease defines the lower portions of the. The importance of full body liposuction is highlighted in what is presented as a new ratio (Supplemental Figure 3): the vertical length of the gluteal crease divided by the vertical length of the gluteal height (from superior gluteal crease to IGC). If your lump is soft and easy to move around. Among. Hemostasis was assured by electrocautery. Results: The mean surgical time was. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. Try This: 9 Tips and Tricks to Get Rid. (A) To locate the inferior gluteal artery perforators (IGAPs), a perpendicular line was drawn from the posterior superior iliac spine (PSIS) to the medial gluteal fold, and IGAPs were usually found around the middle third of the line. a patch of hair by the dimple. A simple dimple is one that is located within 2. The infra-gluteal crease is the distinct crease line, separating the buttocks from the thighs. Indications. cc26j. 6 may differ. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. 5 cm (range 6–9 cm) Diameter: Range 2–2. Actively look for concerning findings. It. #1. 2. By this I mean, at the top of his bum crease, it veers to the right. 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. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. 2009; 155(6): 864– 869; doi: 10. 201. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. Sign in to MyChart. Indications. Answer: Sacaral dimple. Fine tune the look for poses or animation, the choice is yours. Prostatic hyperplasia may cause difficulty in urination, retention of urine, and incontinence, or it may interfere with the ability to have an erection. Purpose To provid a comprehensive and detailed review of the. These cysts can contain hair, skin fragments, and other tissue. However, imaging. Vascular SupplyThe most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. This line is not always distinct in every person. 5–0. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Europe PMC is an archive of life sciences journal literature. A simple dimple is one that is located within 2. The inferior gluteal line, is the least distinct of the three gluteal lines, begins in front at the notch on the anterior border. Posted 15-01-11. The rounded femoral head sits within the cup-shaped acetabulum of the pelvis. She explained that it needs to be watched over the. 8 It is bordered cranially by the middle-medial compartment, and caudally by the gluteal crease and the gluteal cleft adhesion. Figure 1: components of beautiful buttock. 6 - other international versions of ICD-10 Q82. The bones of the gluteal region contain foramina (notches), which serve as conduits for nerves and blood. Provocation tests like the Active Piriformis Test can be used to test if a contraction of the deep gluteal muscles reproduces the recognizable buttock pain. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. The 2024 edition of ICD-10-CM L30. There is paucity in the literature regarding the role of the elastic fibers component in skin crease formation. and extending past bilateral gluteal creases 4 cm on posterior thighs. Patients may seek to enhance buttock shape with buttock implants, autologous fat transfer, autologous tissue flaps, excisional procedures, or liposuction. 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. 4 cm transverse × 1 cm . The superior gluteal nerve is responsible for innervation of the gluteus medius, gluteus minimus, and tensor fasciae latae muscles. Most coccygeal dimples are located near the midline, within or just above the gluteal crease (within 2. It affects about 70,000 people in the US annually and is more common in men than women. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. A. Follow your baby's amazing development. effects of aging on the male reproductive system. Keep your arms straight as you lift the weight with your hips and glutes. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. include a low anterior scar that gently slopes superior to help with waist accentuation and addressing lateral thigh contour. 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 . Posted 18-03-16. Follow your baby's amazing development. 003Researchers from Tel Aviv performed a prospective observational study to assess whether infants with low-risk lumbar midline skin stigmata (MSS) should undergo ultrasound (US) to detect tethering of the spinal. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. Figure 2: Contents of the greater and lesser sciatic foramina. S31. k. The scientific name for the single gluteal fold is the infra gluteal fold. L30. c. image credit: CFCF via Wikimedia Commons cc. L30. This area is the groove between the buttocks that. The final gluteal frame shape occurring roughly 15% of the time is the V-shape or “apple” shape. The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. There are many muscles in the buttocks region, but the main ones that contribute to the shape of the buttocks are; Gluteus Maximus (Yellow), Gluteus Medius (Blue) and Gluteus Minimus (Red) are the main muscles that contribute to the shape of the buttocks. Origin. Your current Body Mass Index estimate of 26. Definition. 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]. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. Read about recovery time, diagnostic tests, and prevention. In split gluteal flap, only the superficial 1-1. 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. Vascular loop is around the filum. Note: (1) Multiple lesions and any neurological abnormalities warrant consultant review and discussion with neurosurgical colleagues prior to further. Pitanguy 1 was the first to propose a solution; according to his first report in 1964, his technique addressed both buttock ptosis and the trochanter adipose tissue, which produced a long scar along the gluteal crease that extended nearly to the anterior. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The former will not change much after the surgical procedure; however, the latter can decrease. Sacral dimples can be “typical” or “atypical”. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. Firmness could also be an indication that your lump is more than a fatty deposit. and symmetric (Y-shaped) splaying of the. 8. From there they would recommend an MRI to see if her cord is tethered. Herewith, we present our experience with V-Y gluteal advancement. Mar 18, 2018 · Y shaped gluteal waiting for scan. The musculature is formed principally by the three gluteal muscles:. In some individuals the crease is very deep, and remains folded all the time. Atypical dimples may be located higher up on the back or off to the side. skin tags. of or relating to the gluteus muscles… See the full definition. The 2024 edition of ICD-10-CM L30. With this technique, the deepithelialized crescent-like zone in lateral thigh redundancy anchored to gluteal fascia through three separate incisions as used for creation of a new gluteal crease. Understanding where and how to activate. It overlies two additional gluteal. My daughter has a y shaped cleft at the top of her bottom. Hair can then enter the abscess cavity and provoke a foreign body tissue reaction. The dimple in this photo is the tiny dark brown shadow below the. If it is, she would need surgery to have the the tethered cord snipped. O'Neill, Danielle Gallegos, Alex Herron, Claire Palmer, Nicholas V. Accuracy of abnormal neurologic examination findings. Based purely upon your photos and not an in person physical exam, you may be better off playing it safe and avoiding any surgical treatment for your particular lower buttock double crease. In very mild cases, such as isolated. Deep dimples were noted in 1. its like an actual dimple (looks like a small hole) in the skin. The overall preferred ratio was 0. 58 when compared with the buttock ratio of 0. My son who is 6 months old is scheduled for a MRI in June to check for a tethered cord. 10. 0. 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. 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. 33 In. I'm so confused. 34–37 Other procedures (e. There, they scarf down your sweat, and in the process generate what scientists call “butt funk. These patients tend to have central obesity, thin legs, and a tall pelvis. It has four borders - superior, anterior, posterior and medial borders; and three surfaces - gluteal, iliac fossa and sacropelvic. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. Isolated midline dimple was the most common indication for imaging. 4). 3,4,9,10,15,16,18,26,27 The true prevalence of OSD has not been established. Original poster's comments (2) 0. Figure 3: Superficial muscles of the gluteal region and posterior thigh. 1 doctor answer • 2 doctors weighed in. The patient's satisfaction was good with long-term. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 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. Isolated midline dimple was the most common. ICD-10-CM Diagnosis Code M76. Cramer, in Clinical Anatomy of the Spine, Spinal Cord, and Ans (Third Edition), 2014 Gluteus Maximus Muscle. Deep dimples were noted in 1.