Copyright 2014-2021 BHSPaediatric Portal /, size: greater than 0.5 cm width across the base, depth: cannot adequately visualise the base even with spreading of the lateral skin, position: those higher than the gluteal folds, associated cutaneous features: hypertrichosis (dark hairs) from the base, distinct colour change within the base, Sacral dimples which have a clearly visualised base with a width of< 0.5 cm, are positioned below the gluteal folds and have no other cutaneous features (dark hair, colour change) are innocent and. Read more about folic acid, including folic acid supplements and foods containing folate. Your baby will have a few checks and examinations in the first hours of his life. Investigations are often not required for sacral dimples. The Guidance 2.1. If tests confirm that your baby has spina bifida, the implications will be discussed with you. In this article, learn about the possible complications of sacral dimples. Rarely, sacral dimples can be a sign of an underlying health condition. (2011). This gives your baby time to adjust to the outside world and allows for prompt medical attention in the unlikely event of any problems being found. Warder DE: Tethered Cord Syndrome and Occult spinal dysraphism. If you're takingmedicine to treatepilepsy, youshould ask your GP for advice. endobj Pilonidal cyst: definition. xMk@9vg! In some cases, electromyography will be used to assess nerve function as well. Most sacral dimples dont cause any problems or need any treatment. In a child, this can mean increased tension on the spinal cord as they grow, which can lead to several neurological problems. If you have a child with spina bifida or you've been diagnosed with the condition yourself, you may find it helpful to speak to other people affected by it. It is a congenital condition, meaning it's present at birth. Occasionally, a deep sacral dimple may indicate a problem with your baby's nerves in his lower spinal cord. Read more about the symptoms of spina bifida. Are there any problems with urination or stooling? However, in newborn babies, a doctor will examine the infant for any signs that may indicate a birth irregularity. Keeping these dimples clean will help reduce the risk of infection. The first is the APGAR score, which your midwife will record at one minute, then again at five minutes after your babys born. But most are harmless. Holcomb GW, et al., eds. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. [6] Sacral dimples are common benign congenital anomalies found in up to 4% of the population. Before climax, people with a penis can release a fluid known as pre-cum or pre-ejaculation. If the doctor or midwife who examines your baby has any concerns, they may decide that further tests and investigations are needed. Back dimples indentations on your lower back are a fairly common cosmetic feature. Especially if it is small or shal-low, the dimple is harmless. We avoid using tertiary references. stream After completing this article, readers should be able to: Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. This can also cause a chronic rash. A sacral dimple is visually evident todoctors during a newborns physical exam. pyogenes) infection in children, Transfer a patient: Paediatric Transfer Traffic Light risk assessment, the base of the dimples cannot be visualised, the dimple is >2.5cm above the anal margin, there are associated cutaneous marking, hairy patch, skin tag, or fatty lump, the dimple lies outside the sacrococcygeal region, there are any neurological abnormalities noted. For the few babies who do have problems, there are many benefits to having these identified early on. 6th ed. A squashed or moulded head is a very common feature innewborns. Sacral dimple guidelines Authors: Elsayed Ibrahim Salama Meoufyia University Weill Cornell Medical College Download file PDF Content uploaded by Elsayed Ibrahim Salama Author content Content. Based on its size and location, your childs provider may order more tests to rule out spine problems. They may also cry a little. Your baby may have a hearing test shortly after birth, either in hospital, a community clinic, or at home. There is no treatment for a sacral dimple. The only symptom of a sacral dimple is a generally shallow depression near the end of the tailbone and the top of the buttocks. (2012). But as your child grows, it becomes less noticeable. In most cases, sacral dimples are simply signs of minor abnormalities as the baby grows inside the womb. In rare cases, people may experience symptoms later in life. In the hours afterthey areborn, your baby will have several tests and examinations to check that they are healthy and that all is well. Venus was the Roman goddess of beauty. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. A midwife will have already looked at your babys eyes to check for any obvious problems. However, if referral is required please refer as soon as possible. (https://pubmed.ncbi.nlm.nih.gov/24605855/), (https://pubmed.ncbi.nlm.nih.gov/28245993/), (https://pubmed.ncbi.nlm.nih.gov/24738724/), Visitation, mask requirements and COVID-19 information. These dimples do not require any treatment. You can opt out of the register at any time. Ligaments connect your skin to your pelvic bones. Included is detail on diagnosis and seeing a, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. 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. This solution can be carried out in three different ways, depending on the symptoms: Last medically reviewed on August 31, 2017, A look at spina bifida occulta, a condition that affects the development of the spine. A pilonidal cyst can lead to a swollen pocket of pus (abscess) if left untreated. In contrast, there would be only one sacral dimple. What Does It Mean to Have a Sacral Dimple. DTD is a rare genetic condition that causes short stature and unusually short limbs. Rest assured that heart murmurs often disappear on their own. The next screening test you and your baby will have will be your postnatal check with your doctor. If your baby has talipes, you may already know due to an ultrasound scan. Elsevier; 2022. https://www.clinicalkey.com. In most cases, the individual will experience problems in childhood, but they may not appear until adulthood. You arent born with pilonidal cysts. Often this type of growth does not happen until the person is in their teens. Although the exact cause is unknown, it is believed it happens when loose hairs push into the skin. There are treatment options to help. Sacral dimples dont have any symptoms other than the indentation itself. Sacral Dimples. Most sacral dimples dont cause any problems. A sacral dimple is a pit in the midline of skin overlying the spine, often detected in the newborn or early infant period. A further test for a heart condition is to feel for a pulse in your babys groin (the femoral pulse). In most cases, a sacral dimple causes no problems and isnt associated with any health risks. Anyone can develop a pilonidal cyst, but its most common in young men. About 3 to 8 percent of the population has a sacral dimple. NHS Choices, Health A-Z. Occasionally, a deep sacral dimple may indicate a problem with the lower part of your babys spinal cord. Neurosurgical conditions. A sacral dimple thats a sign of an accompanying spinal problem may have signs including: Researchers dont know why sacral dimples appear in some people. If its deep, you should clean it often to lower the chance of infection., Back dimples pose no problem. Mayo Clinic Staff. A tethered spinal cord occurs when your babys spinal cord is stuck to tissues around their spine. 1 0 obj When a clinician sees a skin dimple, the possibility of occult spinal dysraphism (OSD) usually crosses the mind. These are common in the first few days, as your babys pattern of circulation undergoes a major change after birth. It's usually just above the crease between the buttocks. Most people with spina bifida have normal intelligence, but some have learning difficulties. If the cyst becomes infected, it can become swollen and painful. endobj Pediatric Radiology, 45, 211-216. A pilonidal cyst is a collection of fluid, hair, and debris that forms within a sac. Schropp C: Sorensen N, et al. Cleveland Clinic is a non-profit academic medical center. https://publications.aap.org/patiented. It is found in the small of the back, near the tailbone, which is also known as the sacrum. Though bear in mind that screening tests may not pick up every problem. Learn more here. Sometimes large or deep sacral dimples are a sign of a birth defect involving the spinal cord or the spinal bones. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Their website hasmore information about the other types of spina bifida. A single copy of these materials may be reprinted for noncommercial personal use only. More severe cases can cause significant nerve and spinal cord damage. Theres a high probability that it will have no effect on a persons health. Spina bifida. This study was a It forms for unknown reasons during fetal development. Please refer as soon as possible so that an ultrasound may be requested before 8 weeks of age. To diagnose a sacral dimple, your childs healthcare provider will perform a physical examination. The examiner will look at the resting position of your babys feet and ankles. However, sometimes pilonidal cysts can become infected. Cleveland Clinic Children's is dedicated to the medical, surgical and rehabilitative care of infants, children and adolescents. The doctor or midwife will listen to your babys heart with a stethoscope to exclude extra sounds or heart murmurs. Learn about causes, possible symptoms, complications, and more. There is some genetic component to cheek dimples, but it's not entirely clear why. Shine is a charity that provides help and support for people affected by spina bifida. Is the dimple outside the sacrococcygeal region? The penis will be checked to ensure the opening is at the tip of the penis, and not on the underside. A sacral dimple is an indentation or pit in the skin on the lower back. WebMD does not provide medical advice, diagnosis or treatment. Current status of paediatric imaging. Even when those defects occur, they are usually mild and produce no symptoms. We discuss the vaccines to get during pregnancy and the ones to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. The dimple in this photo is the tiny . Scientists dont know for sure what causes sacral dimples, but it may be genetic. A sacral dimple is a pit in the midline of skin overlying the spine, often detected in the newborn or early infant period. Pressure ulcer surgery can be challenging, especially because most people who have the procedure are already in a poor state of health. Heres what you need to, There's no evidence that vaccines are linked to birth defects or developmental issues. If it becomes infected, it can become swollen and cause pain. A look at pain in the buttocks, a common complaint with many causes but often the result of sciatica. Accessed Aug. 31, 2022. In rare cases, they can indicate a deeper spinal abnormality. These soft spots will be looked at by your midwife or paediatrician. About 3 to 8 percent of the population has a sacral dimple. American Academy of Family Physicians. endobj Last reviewed by a Cleveland Clinic medical professional on 03/17/2022. endstream Most babies are fine, or may just need to be watched for a while. They will also check your babys tongue for tongue-tie. The dimple has no effect on their movement or lifestyle. If you have a child with a sacral dimple and these other symptoms, talk to their doctor. MRI spine can be considered if the ultrasound shows features suggestive of spina bifida occulta or other neural tube defects, although can be organised after specialist input. Causes There are no known causes for a sacral dimple. Your baby may be examined by a paediatrician, a midwife with extended training or, if you had a home birth,your midwife or GP. Learn. It is quite common for babies to have a tiny dimple at the base of the spine, called a sacral dimple. Complications How far above the anal margin is the dimple? 5 0 obj DOI: Zywicke HA, et al. Often, they will be discovered when a doctor first examines an infant. Sacral dimples are small clefts at the base of the spine. Some sacral dimples have appearances that may raise concern about a possible birth defect. % In the uterus (womb), the two sides of your babys heart beat together. If you had back dimples, you would have one on each side of your spine. If you are sending in a photograph, please ask the parents to place a tape measure next to the dimple/lesion to the position of the anus, so that the reader can estimate the distance from the anal margin. In most cases this will cause no problems. It is usually very shallow, and the bottom can be seen easily. Simple sacral dimples have the following features 1: <5 mm in diameter. (1)(2) These defects, which result from abnormal fusion of the neural tube during embryonic development, are placed into two broad categories: open and closed. References : 1. These include split cord malformation, dermal sinus tract, tethered spinal cord, and intraspinal lipoma (Table). You can learn more about how we ensure our content is accurate and current by reading our. Your baby may cry a little when the blood is taken, but he will recover very quickly. IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide information that is accurate and not misleading.NIH makes no endorsements of tests or laboratories listed in the GTR. They'll look at the area near the bottom of your child's spine. If testing shows a birth problem related to a sacral dimple, then the baby may undergo further evaluation and diagnosis for treatment. This is to check for talipes (clubfoot), where the front half of the foot turns in and down. The above may be associated with an underlying neurological problem, for example spinal dysraphism. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. KP XV&p? dOM2gL]a6 eD C"= #g1rWFz}NCHbMB'kYt,pwY7e9e{ $ G4Go$Ryy5LW, !h bPu4!^Z75UrJ*g}qCe^@M5O`utO I Y\8x$\$N^Bf"5J P(9GngR%0HhdqipiYQn;R@.N If your child has a condition related to a sacral dimple, such as spina bifida or a tethered spinal cord, theyll need additional treatment. Sacral dimples are common physical examination findings among newborns and are rarely associated with spinal dysraphism. At this stage, your babys heart is working hard and may be enlarged, though it will settle down over time. But if they are concerned or cant see the reflex, they may encourage your baby to demonstrate it. Weakness in one or both legs. A. Focus 2001;10:1-9 2. A sacral dimple is a congenital condition, which means your baby was born with it. The doctor or midwife will check your babys bottom to ensure the opening to his back passage is normal. Sacral dimple. We do not endorse non-Cleveland Clinic products or services. But the nervous system will usually already have been damaged, which can lead to problems such as: Many babies will have or develophydrocephalus (a build-up of fluid on the brain), which can further damage the brain. A sacral dimple is a small dimple or cleft in the skin at the base of your baby's spinal cord (the small of the back, also called the "sacrum"). The area is swollen and red. Heart murmurs may require a second opinion and further investigation, or will be checked at future examinations. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, http://www.nhs.uk/Conditions/Pilonidal-sinus/Pages/Causes.aspx, https://www.drgreene.com/qa-articles/sacral-dimple/, https://doclibrary-rcht.cornwall.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/Neonatal/SacralDimple.pdf, http://www.impcna.com/intranet/Nelson%20Pediatric/Newborn/SacralDimple%5B1%5D.pdf. Sacral refers to the sacrum, which is the bone at the bottom of your babys spine. And when problems are found, they often resolve themselves in time and without any treatment at all. Patients and consumers with specific questions about a genetic test should contact a health care provider or a . Holly A Zywicke; Curtis J Rozzelle. In rare instances, some sacral dimples are a sign of a spine or spinal cord problem. Drs Zywicke and Rozzelle have disclosed no financial relationships relevant to this article. Because sacral dimples are present at birth and we dont really know what causes them, it isnt possible to prevent them. The neural tube starts to form in early pregnancy and closes about 4 weeks after conception. But a pilonidal cyst is a round sac of tissue that's filled with fluid or air. <> The best way to prevent spina bifida is to take folic acid supplements before and during pregnancy. What is the latest research on the form of cancer Jimmy Carter has? 2005 - 2023 WebMD LLC. Single palmar creases are less common. Surgery to repair the spine will usually be recommended soon after your baby is born. Most sacral dimples don't cause any problems. But as your child grows, it becomes less noticeable. Sometimes pus and blood will ooze from the cyst. The sacral dimple may have to be surgically removed if infections keep occurring. This site uses cookies. The severity of the condition varies widely. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> This can include magnetic resonance imaging (MRI). However, 10 per cent of the population have one palmar crease on one hand and five per cent have one palmar crease on both hands. This condition can cause your babys spinal cord to stretch out as they grow, which can lead to nerve damage. There are no known causes for a sacral dimple. The doctor or midwife will put a finger in your babys mouth to check that the roof oftheir mouth (palate) is complete andtheir sucking reflex is working. Is the child otherwise well, thriving and developing normally? Examples include: The risks of these spinal problems increase if the sacral dimple is accompanied by a nearby tuft of hair, skin tag or lump, and certain types of skin discoloration. (2014). 2 0 obj (2015). Accessed Aug. 30, 2022. 2 . Sacral Dimple . Posterior tibial nerve stimulation Your posterior tibial nerve runs down your leg to your ankle. Theyll then respond by flinging out both arms withtheir fingers spread and legs outstretched. Childs Nerv. The pilonidal dimple may also be a deep tract, rather than a shallow depression, leading to a sinus that may contain hair. Make a donation. If it's infected, you also may notice: You have a fever. This content does not have an Arabic version. This content does not have an English version. Read more about the causes of spina bifida. A sacral dimple is defined as a midline dimple less than 5 mm in diameter and no further than 2.5 cm from the anus without associated visible drainage or hairy tuft. Balance difficulties. If an infection does occur, it will be treated with antibiotics. . Journal of Neurosurgery, 2, 150-153. A sacral dimple is an indentation or pit in the skin on the lower back usually just above the crease between the buttocks. This is because coarse body hair and sweat can create a good environment for an infection. A chronic wound is one that fails to progress through a normal, orderly, and timely sequence of repair, or in which the repair process fails to restore anatomic and functional integrity after . This will take place between six weeks and eight weeks. Most sacral dimples are harmless and don't need treatment. Doctors usually use ultrasound to find out if the dimple is . In most cases, tethered cord syndrome will be diagnosed using either an MRI or computed tomography (CT) scan. This will indicate whether your baby has any immediate problems which need medical support. Women thought to be at higher risk of having a child with spina bifida need to be prescribed a higher (5 milligram) dose of folic acid by a GP. Governance Team rch-tr.infogov@nhs.net 2. Are there associated skin changes, hairy patch, skin tag or fatty lump? Congenital heart disease and heart defects, Large study finds 14 new genetic disorders in children. Most people with sacral dimples live normal, healthy lives. <> They have also been called dimples of Venus, because many people believe they can boost your fertility, beauty, and luck., Throughout history, many cultures have praised back dimples for their beauty. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. You should also try to eat foods that contain folate (the natural form of folic acid), such as broccoli, spinach and chickpeas. In these cases, the dimple needs to be closed. A sacral dimple is a small bump in your newborns lower back near the crease of their buttocks. %PDF-1.5 Can diet help improve depression symptoms? A sacral dimple is an indentation or pit in the skin on the lower back. If the examiner detects any instability, orclickyhips, further investigations will be performed. There is no known link between the presence of a sacral dimple and spinal dysraphism or incomplete fusion of the spine or spinal cord. They are seen in around 2-4 percent of births, although the cause of them is unknown. Spina bifida happens when your developing babys spine doesnt form completely early during your pregnancy. All rights reserved. a dimple larger or deeper than 5 millimeters (mm), having an above-average amount of body hair, having a job that involves driving or sitting for long periods, cutting the dimple out and packing it daily with dressing until it heals, closing the dimple with a flap of skin and stitching, scraping it out and filling it with a special glue. Accessed Aug. 31, 2022. Since theres no muscle where the dimples would be, you can't "grow" them, even through exercise., But if you have them and want to make them easier to see, you can do lumbar or core strength and stability exercises to make your lower back region leaner. . The sacral dimple shouldnt have any effect on their movement or lifestyle. System 2006;22:125-31 In: Paller and Mancini Hurwitz Clinical Pediatric Dermatology: A Textbook of Skin Disorders of Childhood and Adolescence. The examiner will probably ask you questions about your familys medical history, so nows the time to mention any childhood problems common to your family. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Could sciatica be causing the pain in your buttocks? A sacral dimple is a small dimple or cleft at the base of the spinal cord. Neurosurg. Healthline Media does not provide medical advice, diagnosis, or treatment. 3 0 obj Screening ultrasonography for simple sacral dimples in the absence of other physical findings leads to unnecessary health care costs and undue stress on families. This is a fixation of the spinal cord that limits a persons movement. A sacral dimple is a congenital condition, which means your baby was born with it. If a sacral dimple has no unusual characteristics, its called a simple sacral dimple. Does Having Back Dimples Tell Me Anything About My Genetics? The examination will be carried out while you are present, so youll be able to ask questions. The examination takes a head-to-toe look at your baby to check for any problems or conditions. not associated with other cutaneous stigmata of spinal dysraphism (e.g. Your childs healthcare provider will examine your childs sacral dimple closely to determine if its a symptom of something they need to treat. People with DTD have many health complications related to their. sacral dimple - General Practice notebook GEMs TV sacral dimple Last reviewed 06/2022 A tiny dimple in the cleft between the buttocks is common, and of no importance if the base of the dimple is clearly visible (1). They're caused by short ligaments connecting your pelvis to your skin, but they have no medical . While uncommon, surgery to correct an improperly closed spinal cord may be recommended. Sacral dimples are relatively common in healthy, newborn babies and do not normally signal a concern. 7th ed. A full newborn examination is carried out at between four hours and 48 hours after your babys birth. Scientists arent exactly sure what causes a sacral dimple. It can be a challenging condition to live with, but many adults with spina bifida are able to lead independent and fulfilling lives. Their healthcare provider will note the size and location of the dimple. Cohen BA. Sometimes, a sacral dimple can be a sign of an underlying spinal issue. Ultrasound is the initial investigation of choice, but after around 8 weeks of age (after ossification of the vertebral arches) an MRI is performed (either a feed-and-sleep, or with a general anaesthetic). Chern, J.J. et al. Applying ice or heat. Rarely, they can be indicative of underlying spinal defects. Doctors usually use ultrasound to find out if the dimple is a sign of a problem., You cant get dimples on your back if you werent born with them. Numbness or other changes in feeling the legs or back. During the full examination, the doctor or midwife will shine a light into your babys eyes to look for a red reflex. They are common, 2-4% of births, and are uesE1oa 2005-2023 Healthline Media a Red Ventures Company. Your babys head is allowed to gently and safely fall for a short distance. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Next review due: 20 April 2023, folic acid before and in the early stages of pregnancy, more information about the other types of spina bifida, find and contact your regional Shine team, National Congenital Anomaly and Rare Disease Registration Service (NCARDRS), myelomeningocele the most severe type of spina bifida; the baby's spinal canal remains open along several vertebrae in the back, allowing the spinal cord and protective membranes around it to push out and form a sacin the baby's back, meningocele another serious type ofspina bifida where the protective membranes around the spinal cord (meninges) push out through the spine; the spinal cord usually develops normally so surgery can often be used to remove the membranes without damaging the nerves, spina bifida occultathe most common and mildest type of spina bifida; 1 or more vertebrae does not form properly, but the gap in the spine is very small;spina bifida occulta does not usually cause any problems and most people are unaware they have it, loss of skin sensation in the legs and around the bottom the child is unable to feel hot or cold, which can lead to accidental injury, medicines taking certain medicines such as valproic acid (used to prevent seizures) during pregnancy has been linked to an increased risk of having a baby with spina bifida, monitoring your child's head growth and carrying out a brain scan, using an, ultrasound scans of the bladder and kidneys to check whether your baby stores their pee normally, an assessment of your baby's movements to check for, surgery soon after birth to close the opening in the spine and treat hydrocephalus, therapies to help make day-to-day life easier and improve independence, such as, treatments for bowel and urinary problems, with a family history of neural tube defects, with a partner with afamily history of neural tube defects, who have had a previous pregnancy affected by a neural tube defect. Coarse body hair, which can grow inward, along with excessive sweat can produce the right environment for infection. Most babies pass theirnewbornexaminations with flying colours. The doctor or midwife will look at the shape of your babys head. Mayo Clinic does not endorse companies or products. Our website services, content, and products are for informational purposes only. Here's what creates their appearance and what they mean. Arthrogryposis is a congenital condition present at birth characterized by a stiffening of the joints. In these cases, your childs healthcare provider may refer you to a specialist for further evaluation. Your babys spine will be assessed for straightness. Sacral dimples which have a clearly visualised base with a width of< 0.5 cm, are positioned below the gluteal folds and have no other cutaneous features (dark hair, colour change) are innocent and do not require any further investigation. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. You should take a 400 microgram folic acid tablet every day while you're trying to get pregnant and until you're 12 weeks pregnant. You can learn more about how we ensure our content is accurate and current by reading our. Back dimples are the result of ligaments, tissues that connect your skin to your pelvis.. It's usually located just above the crease between the buttocks.