The words literally mean “hidden split spine. ICD-10-CM M89. RESULTS. Absorb moisture—use disposable diapers with super absorbent gelling materials. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. Type A. Treatment is given to alleviate symptoms (eg, pruritus), reduce risk for secondary bacterial infection, and limit spread of the infection to other body sites or other individuals. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. The Y shaped cleft is a common variation and rarely associated with a tethered cord (anchored) which would become evident. 6 - other international versions of ICD-10 Q82. I don’t mean to scare you. Urinary and bowel dysfunction are nearly universal. , lipomas, teratomas, etc. 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. k. 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 distinctive anatomic and radiologic features are discussed. The atypical type of lobster-claw deformity (U-shaped defect) which only involved the right hand of this infant. It is almost Y shaped at the top - pic attached I hope. Incision and drainage. Doctoral Degree. I’ve noticed my baby has a Y shaped cleft on her bottom. 2-7. Figure 3 Ptychotropic porokeratosis showing a keratotic plaque on the medial right buttock close to the natal cleft. In very mild cases, such as isolated. During the exam the doctor asked if anyone at the hospital mentioned our daughters "y cleft". 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. Figure 1. Sacral Dimples and Pits: Background Sacral dimples or pits are common. We had our 2 week pediatrician appt this afrernoon. 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. Sacral Dimple. While a slightly asymmetrical presentation is common, a complex and large disease. They are the second most common congenital disability after congenital heart defects [ 1 ]. The pilonidal sinus usually starts as a. com evaluation of. 621 may differ. He underwent elective. Code. Oct 16, 2008 #2 you're joking right? ? M. Read More. 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. Setting Community private practice with. Venus dimples are two dimples that appear on the lower back, just above the gluteal cleft. L30. It's a type of neural tube defect. Labia majora and minora. Note: (1) Multiple lesions and any neurological abnormalities warrant consultant. Other cyst of bone, right upper arm. -second stage: lacy, blotchy appearance. #5. The symptoms from pilonidal disease can vary greatly from patient to patient, there is a deep tunnel like hole on the upper side of gluteal cleft, such as high temperature or abnormal vital signs, The cyst may become infected and develop a pilonidal abscess,mri is required or not. 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. They could have a prominent central crease associated with an angulated second or could be composed of angulated creases bilaterally. The 2024 edition of ICD-10-CM M25. 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. The y shaped cleft was still there and didn't go. Tethering may be asymptomatic or result in a variety of symptoms including lower extremity weakness/sensory deficits, bowel/bladder dysfunction, scoliosis, pes. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. Sometimes referred to as the sacrococcygeal area, the intergluteal cleft is the fissureAbstract. It is also known as the “butt crack” and “intergluteal cleft. On the underside of the belly or breasts. My middle child has one and I know quite a bit about them now. 4,437 satisfied customers. This is the American ICD-10-CM version of M25. 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. 02 may differ. This rash may burn or itch. S. The fibres slope across the buttock at a 45 degree angle and insert onto the iliotibial tract and gluteal tuberosity of the. 89. These symptoms include a tuft of hair. In the crease of the neck. If psoriasis affects the gluteal cleft, the skin can appear. Gluteal cleft anomalies other than dimples also have a weak association. Spinal dysraphism encompasses congenital problems that result in an abnormal bony formation of the spine and/or the spinal cord. Study with Quizlet and memorize flashcards containing terms like Pilonidal disease , Cellulitis , Erysipelas and more. Not necessarily: The rose colored birthmark is likely the same as many have at the base of the neck called a stork's bite. Youssef, Seth W. en duration of symptoms, increase lesion healing, and decrease viral shedding time. This is the American ICD-10-CM version of Q82. Is composed mainly of collagen fibres, it is strong enough to support. 722 may differ. Case Description: 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 lower extremities observed during the evaluation of a Y-shaped gluteal cleft. 89. The aim of this article was to summarize results of the consensus sessions that occurred at the Wound Ostomy Continence Nurses' Society National conferences in. NT scan. They may be associated with a tuft of hair. The y shaped gluteal cleft and a tuft of hair can both be signs of a tethered spinal cord. KEYWORDS: abscess, female, gluteal cleft, pilonidal cyst, pilonidal disease, women’s health P ilonidal disease (PD) is defined as a condition of the skin and subcutaneous tissue at or near the natal, or intergluteal, cleft (see Supplementary Figure S1). Intertrigo is due to genetic and environmental factors. 3 answers / Last post: 12/07/2018 at 8:49 pm. Vulval cysts are dome-shaped, firm or fluctuant,. The gluteal cleft is just above the anus. K62. Tethered cord syndrome is a type of occult spinal dysraphism that puts abnormal traction on the. Applicable To. Under general anesthesia, the patient is placed in a prone position. 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. 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef MJ, Wieland CN. The lipomas are located along with the filum terminale (arrows). 36%), genitogluteal region (31. The gluteal cleft is just above the anus. Now I’m freaking myself out because everything you see on google says tethered spinal cord. 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. He did great & slept through the whole thing. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. 1 Gluteal Shape. Common causes of tight glutes include: sitting for long periods of time. Psoriasis can also affect other genital tissue, including the penis, vulva, and pubic area. 6 may differ. 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. Download Citation | On Oct 1, 2021, Kaitlin N. 2-7. Community. A pilonidal sinus is a sinus tract which commonly contains hairs. The goal of this procedure is to completely eliminate the gluteal cleft in the diseased area. He underwent elective spinal cord detethering via the safe and effective, minimally. The cleft and peri-anal skin is intact. [ Wilson, 2016] Should be overlying the sacral bone or towards the gluteal. The y shaped gluteal cleft and a tuft of hair can both be signs of a tethered spinal cord. The inferior gluteal nerve is a motor nerve responsible for the motor activity of the gluteus maximus muscle. 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,. 6 became effective on October 1, 2023. Herron A. Gluteal tendinitis, left hip. Fig. The negative pressure drives hair deeper into the sinus and appears to be exaggerated with a deep gluteal cleft. They are not harmful to one’s health and do not necessitate. Hair and other debris from skin or clothing can lodge in the pores. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. 15 result found: ICD-10-CM Diagnosis Code M76. Inflamed, swollen skin. We would like to show you a description here but the site won’t allow us. During an infection, a person may notice swollen lymph nodes. Affected individuals. 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. track my baby. Congenital dermal sinus form due to a focal failure of dysjunction between the cutaneous ectoderm and. Is there marked asymmetry of the gluteal cleft? No Yes Is there an isolated midline cutaneous dimple or pit below the level of a symmetrical gluteal crease? Yes No Reassure parents that this is not significant and no follow up or investigation is needed. Stumbling or changes in gait or walking. Cleft palate, unspecified. 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. swelling in the area. Sometimes visible, they are sagittally symmetrical indentations on the lower back, just superior to the gluteal cleft. -may appear on trunk and spread to limbs but often spares the palms and soles. Occult spinal dysraphism is a congenital failure of fusion of the posterior vertebral arches with intact skin overlying the defect. Even when those defects occur, they are usually. M25. Is in the shape of a fan located in the posterior pelvis, on both sides and connects the sacrum to the iliac tuberosities. my full-term newborn boy has an asymmetric 'y' shaped crease at the top of his intergluteal cleft. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. 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. 17, 2023. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. 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. 2. The 2024 edition of ICD-10-CM Q82. 2-7. It is mostly associated with drug overdose, alcohol intoxication and prolonged immobilization. This causes a number of eating and breathing problems. 12 They are generally safe; the main adverse effects of oral therapy are nausea, vomiting, and diarrhea. Outlook. 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. 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. Expand all. Included in these groups were several variations. Pilonidal cysts always occur within the gluteal cleft at the top of the buttocks. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. He underwent elective spinal cord detethering via the safe and effective, minimally. Subcutaneous lipomas. z. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. Bowel and bladder dysfunction are universal. Y shaped gluteal cleft. This anatomy is well depicted at imaging, and management is often dictated by what structures are involved. (Y-shaped) gluteal cleft in 3 8. More than 50% of OSDs are diagnosed when a dimple is noted, but obviously not all dimples are associated with an OSD. Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. red bumps or lesions sensitive to the touch that may look like a. 6 - other international versions of ICD-10 Q82. 6 - Congenital sacral dimple. They did an ultrasound of his booty & spine when he was like a week old. ”. I almost thought they just made that up!The association of clinical symptoms with each of the specific subtypes of OSD is not well un-derstood. 75 may differ. This procedure is performed by first marking the “safety zone” of the gluteal cleft. Change diapers promptly after voiding or soiling. At her check up her doctor noticed that she has a y shaped gluteal crease. Furuncle is a dome-shaped skin lesion caused by an infection. Dry skin, in general, tends to crack and can even become inflamed. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped). Your baby's position in the womb. . A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. I've never heard of such a thing before he was born. 722 became effective on October 1, 2023. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions Subcutaneous lipomas Usually occur in combination of other masses, e. Inverse psoriasis lesions were identified in the axilla, inguinal crease, gluteal cleft, genitalia, and umbilicus. This area is the groove between the buttocks that. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. The Dr said its not attached & not to worry. It covers the area from iliac crest from above to the gluteal fold below. My daughter has a crooked butt crack, called an asymmetrical gluteal cleft. He has a y shaped gluteal cleft right above his bottom! Of course I am…Soft tissue sarcoma is an uncommon type of cancer that occurs when cells in the soft tissues of the body grow out of control. The “gluteal frame” is composed of the bony framework, subcutaneous fat, and skin—all structures other than the gluteus maximus. I’ve noticed my baby has a Y shaped cleft on her bottom. zoemcr. 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. Moral of the Morsel. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. 161 became effective on October 1, 2023. Baby gender predictor. She took some pictures and sent them to a neurosurgeon who said we. In the pressure ulcer, the most important etiologic factor is pressure. He did great & slept through the whole thing. Gluteal cleft deviation, although seemingly specific, contains a spectrum of definition ranging from minimal physiologic asymmetry to significant deviation with associated asymmetric glutes . Far less attention, however, has been paid to muscle abnormalities around the hip such as those in the gluteus medius (GM). Symptoms include pain, drainage of pus and a lump under the skin from chronic infection in these areas. 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. The sciatic nerve is the longest nerve in the body, and it runs from the lower back, through the buttocks, and down the legs. The result is an annular (ring-shaped) plaque from which the disease derives its common name (ringworm. Its limits are (Fig. Subjects: Fetus/Newborn Infant, Neurological Surgery, Neurology Topics: Y-shaped creases could be quite distinct with long upper creases or barely visible with short upper creases. Symptoms and causes. might be a staph infection. Had our first well check today and a scheduled ultrasound. I read. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Hypertrichosis exists in a ring around the appendage and is especially prominent in and around. 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. 5cms from anal verge o Vascular lesion e. Vaginal spotting. No other skin changes are seen. It shares many similar characteristics with the gluteus medius, including structure and function, blood supply, and innervation. A clicking or popping sound and feeling when you move your hip. The paramedian approach involves the Bascom, the cleft Bascom, or the Karydakis flap. 1 ): Medially: intergluteal crease, sacrum, and coccyx (sacral triangle, also known as V-shaped crease) Superiorly: posterior-superior iliac spine (PSIS), iliac crest. Leopold, Edward S. We had our 2 week pediatrician appt this afrernoon. The following code (s) above S13. A locking, clicking or catching sensation in the hip joint. Often, the area will drain fluid that may be clear, cloudy or bloody. Superior gluteal nerve neuropathy is uncommon and often associated with iatrogenic injury 1. The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. Author pages are created from data sourced from our academic… show moreThe symptoms of TSC include back pain, leg weakness,. Pilonidal sinuses are characterized by natal cleft suppuration and are thought to initially result from a hair follicle infection. Hidradenitis suppurativa (hi-drad-uh-NIE-tis sup-yoo-ruh-TIE-vuh), also known as acne inversa, is a condition that causes small, painful lumps to form under the skin. 14,15 In the present study,we focused on these low-risk lesions, examining the roleof,validityof, and needforhigh-quality USexamination inaffectedinfants. congenital abnormality, cysts, magnetic resonance imaging, salmon patch, skin manifestations, spinal cord, spinal dysraphism, tethered cord syndrome, ultrasonography, lower. 6%, it is an extremely effective option for patients with complex and recurrent disease. 58% of patients had tried local injections of steroids and/or anestheticsprior to surgery. 4. 6 became effective on October 1, 2023. Acral localized acquired cutis laxa as presenting sign of underlying systemic amyloidosis. 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. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. Each referred participant was risk stratified based on specific physical exam findings. 12,13. I had a cleft-lift, and part of the incision separated. Hypertrichosis. Mark: Sounds as though you may have developed a fissure, or something like it. Created for people with ongoing healthcare needs but benefits. A gluteus tear occurs when one of the tendons that holds your gluteal muscles and bones together partially or completely tears. 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). (A-C) Normal-shaped conus medullaris is confirmed. One of the strangest places Dr. Gluteal flaps can be used as split gluteal flaps, V to Y advancement gluteal perforator flaps. Dimple of Venus. The patient has an unusual sacral crease and sacral dimple. These DTI patterns have been seen in patients who have undergone surgery, as well as in obese patients who probably find it difficult to fully offload onto lateral positions. A sacral dimple. OBJECTIVE. Follow your baby's amazing development. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. Rainbow Taps. Tethered spinal cord syndrome may go undiagnosed until adulthood, when sensory and motor problems and loss of bowel and bladder control. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an. Hi moms! I am a FTM with 2 week old. 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. 419 may differ. Sacral dimples are common and unproblematic in the vast majority of cases. In general, non-genital recurrences of HSV are treated the same as genital recur-. B: After sectioning the. Design Before-and-after trial. Download MyChart to connect with your care team. They could have a prominent central crease associated. Subcutaneous lipomas. 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 symptoms of pilonidal disease can vary from a small dimple to a large painful swelling or mass. Hi. Neural tube defects are congenital anomalies of neural development with a spectrum of clinical manifestations; they can affect the cranium or spine. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). a dull ache. Ultrasound is valuable for imaging of infants and young children and for. 2 months at imaging were included in the study. The gluteal cleft is just above the anus. CONCLUSION. Physical examination revealed a round. 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. Treatment of a gluteal injury depends upon the type of the trauma. The frequency of the cleft chin varies widely among different populations. By Perrine Juillion / October 25, 2019. Clinical symptoms associated with spinal dysraphism. 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. A review of 5 cases described a characteristic clinical presentation of a butterfly-shaped bilateral gluteal cleft lesion on most patients. Y Gluteal Cleft. 12/07/2018 at 11:49 am. 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. A crooked crease between the buttocks. Applicable To. The following code (s) above M25. Jildeh. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. Pediatr Rev. Sacral dimples. Their clinical finding shows the L4/5 level is the main level responsible for gluteal pain in lumbar disc hernia. In these cases, the damage is very localized, but the effects are widespread depending. Ahn, Molly J. 2. 02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The fissure in the underlying bone is from the imperfect fusion of two halves of the jaw bone. 4). Surgical technique. 75 - other international versions of ICD-10 M25. Cluster of abscesses under the surface of the skin; transient with random distribution; usually triggered by an infection. Gluteal muscles, located on the back of the hip (buttocks) The adductor muscles on the inner thigh bring the leg back to the center when out to the side; The. Midline pore or pit: in the center of the gluteal crease, normal skin pores can become enlarged. Jock itch causes an itchy, stinging, burning rash on the skin around your groin, inner thighs and butt crack (gluteal cleft). 819 is a billable diagnosis code used to specify congenital shortening of unspecified upper limb. Analpram is a steroid, as you said, and with prolonged use thins the skin. NO BIGGIE, unless it's really deep, which you didn't mention. Signs and symptoms of a tethered cord can include the following: A crooked toe. P83 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 5–0. Symptoms of genital psoriasis may occur on or around the genitals and surrounding areas, including the gluteal cleft and upper thighs. 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). This is the American ICD-10-CM version of M25. TreatmentBoston Children’s Hospital. ”. 90. symptoms and treatment of ectopic pregnancy. Type I is the mildest form of laryngeal cleft. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. the right of the gluteal cleft. 4). Asymmetric or malformed Gluteal cleft. Some people, however, have one or more of the following: Pain in the hip or groin, often made worse by long periods of standing, sitting or walking or athletic activity. -Fifth disease. Q71. Code. 28. 4 - other international versions of ICD-10 L30. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. 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. 4. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. Yes my son has that. dogperson11 member. Hospital bag checklist. There is a necessity for detailed embryological knowledge for a better. Rarely, they can be indicative of underlying spinal defects. Careful inspection of the natal cleft for dimples and symmetry may reveal a dimple below the top of the gluteal crease in 2% to 4% of normal newborns. This muscle group consists of the gluteus maximus, gluteus medius, gluteus minimus and tensor fasciae latae. Now I’m. Symptoms you should never ignore. Hip stability and function of the gluteus maximus is maintained, as the neurovascular supply is kept intact. states "Butt" that is less specific than "Gluteus Maximus". Coccydynia is a common condition that is known to be difficult to evaluate and treat. Actively look for concerning findings. Lymph nodes are located throughout the body. Typically, the neural tube forms early in pregnancy and it closes by.