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. This is the American ICD-10-CM version of Q82. other signs and symptoms. The symptoms, diagnosis, and treatment are discussed in general terms. e. 17, 2023. Five hundred twenty-two patients with a mean age of 6. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Gregory. Type I is the mildest form of laryngeal cleft. ed hemangioma, isolated asymmetrically deviated gluteal cleft, isolated symmetrically deviated (Y-shaped) gluteal cleft, “other isolated cutaneous stigmata,” a combination of 2 or more of any of the cutaneous markers listed above (“multiple cutaneous stigmata”), or a congenital malfor-mation/syndrome or symptom complex associated with The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. Occult spinal dysraphism is a congenital failure of fusion of the posterior vertebral arches with intact skin overlying the defect. This is the American ICD-10-CM version of Q35. This scoring system does not include the pubis, inguinal folds, perianal region, or the gluteal cleft. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. Sacral Dimples and Pits: Background Sacral dimples or pits are common. Bony defects of the spine or soft tissue defects. In addition, the ink can mask common symptoms of skin cancer like moles that change. Pilonidal cysts always occur within the gluteal cleft at the top of the buttocks. 6 - other international versions of ICD-10 Q82. 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. states "Butt" that is less specific than "Gluteus Maximus". track my baby. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Have any other moms on here. The lipomas are located along with the filum terminale (arrows). 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. might be a staph infection. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. They consist of sketching a design in the medial area near the intergluteal cleft without exceeding the upper limit of this cleft and without going below the infragluteal fold. Figure 3 Ptychotropic porokeratosis showing a keratotic plaque on the medial right buttock close to the natal cleft. 15 result found: ICD-10-CM Diagnosis Code M76. This bending and sitting action tightens the skin of the gluteal cleft and lifts it from the fascia. She took some pictures and sent them to a neurosurgeon who said we. It is mostly associated with drug overdose, alcohol intoxication and prolonged immobilization. Would keep checking for a rash as shingles is relatively common and it ma. Pain. • 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. SGD patients developed with ulcer were all am-bulatory unlike the pressure sore. Pus or blood leaking from an opening in the skin. During an infection, a person may notice swollen lymph nodes. 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. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. 0. Epidermoid cyst. Symptoms include pain, drainage of pus and a lump under the skin from chronic infection in these areas. 722 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. During the exam the doctor asked if anyone at the hospital mentioned our daughters "y cleft". 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. Flexural skin has a relatively high surface temperature. Y Shaped Gluteal Crease? jomarma member. Change diapers promptly after voiding or soiling. If you are concerned about your general ability to heal, then please read my page on Nutrition for Healing, and increase your protein intake and take the vitamins and supplements I recommend. A normal uvula, shaped like a teardrop or a grape. 1 Gluteal Shape. However, it does not mean that they would have been happier with the results from any of. z. Attachments: Originates from the gluteal (posterior) surface of the ilium, sacrum and coccyx. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. They did an ultrasound of his booty & spine when he was like a week old. Fetal development chart. Porokeratosis is an uncommon disorder of keratinization that presents with keratotic papules or annular plaques that expand centrifugally with a thread-like elevated border. 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. Hypertrichosis exists in a ring around the appendage and is especially prominent in and around. Pilonidal disease is a clinical diagnosis based on history, physical exam (including anorectal exam), and evaluation of symptoms and risk factors. 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. Common causes of tight glutes include: sitting for long periods of time. M85. Intertrigo can also affect the skin between the buttocks. Download MyChart to connect with your care team. Inverse psoriasis lesions were identified in the axilla, inguinal crease, gluteal cleft, genitalia, and umbilicus. 89. Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. Yes my son has that. · No relation to gluteal cleft · Distance from anus >2. 8. In a review of 22 patients, the main regions affected were the buttocks (36. 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. 722 became effective on October 1, 2023. The purpose of this study was to analyze unusual and complex dysraphism and propose a new classification based on clinicoradiological correlation and anatomical location. Multiple factors contribute, including genetics. 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. In the groin area. Vagina. The typical V-shaped lobster-claw deformity of the feet in the same infant. It is also the most superficial, producing the shape of the buttocks. There is a necessity for detailed embryological knowledge for a better. a. Physical therapy exercises can help, although some people need other interventions. poor posture. Oct 16, 2008 #3 Here, this link may help you. Included in these groups were several variations. Type C. A 63-year-old male with a 20-year history of a chronic, recurrent sacrococcygeal pilonidal cyst was referred to our outpatient clinic. Type A. Symptoms of genital psoriasis may occur on or around the genitals and surrounding areas, including the gluteal cleft and upper thighs. (A-C) Normal-shaped conus medullaris is confirmed. 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. ” Early IADIt has been described that an hourglass shape with a waist-to-hip ratio of approximately 0. M25. Asymmetric or malformed Gluteal cleft. , lipomas, teratomas, etc. Lumbosacral cutaneous manifestations are associated with a variable risk of occult spinal dysraphism. A butterfly- shaped rash across your nose and cheekPediatrician. Inflamed, swollen skin. Applicable To. Kaitlin N. #5. I’ve noticed my baby has a Y shaped cleft on her bottom. I don’t mean to scare you. In very mild cases, such as isolated. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. My middle child has one and I know quite a bit about them now. 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. Generally, the phalanges of the. The 2024 edition of ICD-10-CM M85. 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. Gluteal flaps can be used as split gluteal flaps, V to Y advancement gluteal perforator flaps. Re: Upper gluteal cleft (buttcrack) is bleeding. A cosmetic desire to boost the volume and shape of the buttocks. The fibres slope across the buttock at a 45 degree angle and insert onto the iliotibial tract and gluteal tuberosity of the. She took some pictures and sent them to a neurosurgeon who said we. Because of this, any condition affecting your spinal cord or spinal nerves can cause symptoms that affect dermatomes. Access records and results, view and pay bills, request prescription renewals, and request appointments. Recently, owing to the reports of death by fat embolism, gluteal fat grafting has become the focus of social attention. Incision and drainage. The patient has an unusual sacral crease and sacral dimple. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Gluteal muscle contracture (GMC), as the name suggests, is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia, in severe cases hip external rotators and rarely hip joint capsule [ 1 – 3 ]. The 2024 edition of ICD-10-CM Q35. 75 became effective on October 1, 2023. Muscles can be hurt for many reasons, including:Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. -Fifth disease. 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). However, in many. 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. (C) Thin FTL without LCM: A 12-month-old girl examined for a deviated gluteal cleft. Often, the area will drain fluid that may be clear, cloudy or bloody. The patient has an unusual sacral crease and sacral dimple. It's a type of neural tube defect. Methods We retrospectively examined clinical and imaging data, such as. Type 1 Excludes. The 2024 edition of ICD-10-CM M76. 1 An occult spinal dysraphism (OSD) is covered by normal or near-normal skin, usually delaying diagnosis of OSDs compared. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The STL. 2021 Oct; 42 (10):e41-e44 View PubMed; Vork DL, Shah KK, Youssef. The y shaped cleft was still there and didn't go. The skin creases at the top of the cleft (white arrow) are on either side of a prominent, but otherwise normal, sacrum and coccyx. Over 6 years, this technique has been used for closure of defects of chronic pilonidal sinus disease in 27 patients (6 females, 21 males). Not all oddities are problematic. Other granulomatous conditions occurring in the gluteal cleft such as Crohn’s disease, mycetoma, perianal tuberculosis and syphilitic granuloma can present similarly to PSD. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. 2 Further diagnostics is compulsory once any of the alarm symptoms (Table 1) are present. This classi-fication system is still frequently used in the literature. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. -second stage: lacy, blotchy appearance. 2 Signs and symptoms You may have a pilonidal sinus and not have any noticeable symptoms. a birthmark in the area. The typical V-shaped lobster-claw deformity of the feet in the same infant. Baby gender predictor. Abstract. Had our first well check today and scheduled an ultrasound. The patient has an unusual sacral crease and sacral dimple. We start by elevating the advancement flap in the subcutaneous plane until the. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. (Y-shaped) gluteal cleft in 3 8. 621 became effective on October 1, 2023. The original technique contemplated a V-shaped excision of the lower end. 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 [email protected]. Common triggers include trauma, infection, and certain medications. 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. This debilitating disease was first described by Fernandez de Valderrama in 1969 [ 1 ]. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Hypertrichosis. Yes my son has that. Note: (1) Multiple lesions and any neurological abnormalities warrant consultant. Stumbling or changes in gait or walking. A pilonidal (pie-luh-NIE-dul) cyst that's infected is called a pilonidal abscess. These four muscles fill the gluteal (buttock) region and provide it with shape and form. The gluteus maximus is the largest of the gluteal muscles. Cleft palate, unspecified. Lymph nodes are located throughout the body. 8 cases per 1000 live births. Community. 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. k. 5cms from anal verge o Vascular lesion e. The shape of the back muscles sends perspiration down down the gluteal cleft. More Information. The 2024 edition of ICD-10-CM Q82. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. Tethered cord syndrome is a type of occult spinal dysraphism that puts abnormal traction on the. 8 - other international versions of ICD-10 Q82. 722 - other international versions of ICD-10 M25. 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. This technique preserves the area contour and better preserves location and shape of gluteal cleft compared to other designs. Had our first well check today and a scheduled ultrasound. Pediatr Rev. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. This can cause swallowing issues and aspiration (when food or liquid passes into the lungs), recurrent lung inflammation, and coughing and choking with feedings. Spina bifida is a birth defect that occurs when the spine and spinal cord don't form properly. Figure is available in color online only. buttocks The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the. They mainly act to abduct and extend the lower limb at the hip. May 6, 2021 at 5:44 AM. 4,437 satisfied customers. , lipoma), or a caudal appendage requires further investigation. Other names. Minimize friction—dry the skin by patting, not rubbing, keeping in mind that friction is one of the causes. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Outlook. A locking, clicking or catching sensation in the hip joint. It can be performed in the primary patient without perianal disease, with a 98. findings (hypertrichosis, haemangioma, caudal appendage, deviated gluteal fold, discharging sinus, etc) > 5mm in diameter, situated above the natal cleft or > 25mm from anus. Use anti inflammatory medicine like Tylenol 2 tablets every 6 hours or Naproxen 550 mg thrice daily. Gluteal cleft anomalies other than dimples also have a weak association. 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 gluteal cleft area. 82%) and buttocks with involvement of the extremities (22. And ulcers in SGD were observed in locations that force both gluteal regions to evert. Analpram is a steroid, as you said, and with prolonged use thins the skin. 4). Gregory. 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. In split gluteal flap, only the superficial 1-1. Some aren't visible, while others can look like a small pit or dimple in the skin. Setting Community private practice with. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. The y shaped gluteal cleft and a tuft of hair can both be signs of a tethered spinal cord. It is a Y-shaped fissure on the chin. A HV mentioned it a while back but said not to worry. S. Fig. 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. This is the American ICD-10-CM version of M85. They are more common in people of German and Polish ethnicity. The Bascom cleft lift closure involves excision of the skin and sinus tracts and mobilization of a skin flap across the gluteal cleft. [1] Classically, this results in a "V-shaped" cleft in the hand with a variable degree of. The vertical line starts from sacrum to the perineum. This type of back dimple is directly superficial to the two sacroiliac joints, where the sacrum attaches to the ilium of the pelvis. The most common areas include: Between toes. Vascular loop is around the filum. Bony defects of the spine or soft tissue defects. Each referred participant was risk stratified based on specific physical exam findings. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). TreatmentBoston Children’s Hospital. Usually asymptomatic; affects the head, neck, back, or. You have three gluteal muscles, which are: gluteus medius, gluteus minimus, and. It occurs in 1 in 2500 live births. kdmahnke13. News & World ReportThe cleft lift flap , also known as the Bascom procedure, is designed to “lift” the concavity of the natal cleft and create an incision that is closed off midline (Fig. Definition. 1 We present an unusual case of verrucous porokeratosis presenting as a unilateral single. Atypical dimples may be located higher up on the back or off to the side. 161 : S00-T88. 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. Keep the skin of the diaper area clean and dry. s. The atypical type of lobster-claw deformity (U-shaped defect) which only involved the right hand of this infant. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. This is not noticed when your child has on clothing. It is a visible border separating ass into two parts. , hemangiomas. It's a y shaped divot above DDs butt. Irrespective of the method of treatment applied, very few patients are troubled with symptoms of persistent pilonidal disease. Figure 1. Hi moms! I am a FTM with 2 week old. mbort True Blue. October 01, 2021Signs & Symptoms. Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. 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. An odor from draining pus. Acral localized acquired cutis laxa as presenting sign of underlying systemic amyloidosis. 4). Share. Gluteal Muscles. Now I’m freaking myself out because everything you see on google says tethered spinal cord. Code. The “gluteal frame” is composed of the bony framework, subcutaneous fat, and skin—all structures other than the gluteus maximus. Abstract. 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 S13. 2-7. It occurs under the skin between the buttocks (the natal cleft) a short distance above the back passage (anus). Pilonidal disease begins as loose body hairs get caught in these pores and find their way under the skin. basically, the top of his bum crack makes a y shape when squished. ICD-10-CM Diagnosis Code M76. 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. 419 may differ. 86:. With thousands of award-winning articles and community groups, you can track your. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. Lesions can also be found in. 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. Q82. This muscle group consists of the gluteus maximus, gluteus medius, gluteus minimus and tensor fasciae latae. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 01 [convert to ICD-9-CM] Gluteal tendinitis, right hip. The patient feel the pain in the gluteal region means buttock. 5 × 1-cm lumbosacral skin appendage (black arrow), slightly to the left of midline, plus a y-shaped gluteal cleft. In some people this folding happens no matter what they are wearing, but in others wearing the wrong clothing can tip the balance such that. Ranked among the best in the nation by U. 8. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an “inverted champagne bottle” appearance . Pathologic entities in the gluteal region reflect the diversity of tissue types present. Spinal dysraphism encompasses congenital problems that result in an abnormal bony formation of the spine and/or the spinal cord. Gluteal shape is determined by four anatomic variables and their relationships: (1) underlying bony framework, (2) gluteus maximus muscle, (3) subcutaneous fat topography, and (4) skin. The fissure in the underlying bone is from the imperfect fusion of two halves of the jaw bone. Distal leg and foot weakness are common, although sensation is curiously spared. Mark: Sounds as though you may have developed a fissure, or something like it. In Indian populations, it ranges from 4 to 71%. little man has a duplicated gluteal cleft. Messages 1,130 Location Hibbing, MN Best answers 0. Includes. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Gluteal tendinitis, left hip. Posted 25-01-18. Denervation changes in the gluteus minimus, gluteus medius and tensor fasciae latae muscles on imaging can further. Context. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. Labral tears are typically caused by overuse, traumatic injuries or abnormalities in the shape or alignment of the hip bones. It's like it is a little. 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,. 1 Surgical intervention for spinal lesions such as cord tethering or split cord malformation before the onset of symptoms may. Now I’m freaking myself out because everything you see on google says tethered spinal cord. published in BMC Musculoskeletal Disorders have added to the weight of evidence supporting association between gluteal pain and lumbar disc hernia. ”. Introduction. These markings include an advancement flap superiorly, and a rotation flap inferiorly. But if it's infected, the skin around the cyst may be swollen and painful. We'd never heard of it before. matomyelia. 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]. She said it can be from a tight umbilical cord and can very rarely cause. Jock itch causes an itchy, stinging, burning rash on the skin around your groin, inner thighs and butt crack (gluteal cleft). 419 became effective on October 1, 2023. Posted 07-28-08. I’ve noticed my baby has a Y shaped cleft on her bottom. Treatment Boston Children’s Hospital. , hemangiomas /vascular malformations, hyrpertrichosis. During the exam the doctor asked if anyone at the hospital mentioned our daughters "y cleft". Intertrigo is due to genetic and environmental factors. But walking and some mild stretching can bring them back to life fairly quickly. Hair and other debris from skin or clothing can lodge in the pores. Deviated gluteal creases varied in appearance from S-shaped to mostly straight with a superior angulation. O’Neill B. A full thickness skin flap is mobilized across the gluteal cleft to create an off-midline closure (Fig. Stiffness. and asymmetric utilization of his lower extremities observed during the evaluation of a Y-shaped gluteal cleft. teal cleft than pressure sore which happen due to force abrasively folded inward in both buttocks (Fig. This is the American ICD-10-CM version of S13. Sacral dimples and pits are much more commonly found than are closed neural tube defects.