this region without a pre-existing pilonidal sinus. In other sites infection or inflammation related to trauma is associated with the presence of a bursa- for example, olecranon bursitis and the parapatellar bursitides-but there was no evidence in our cases of an adventitious bursa at operation. It would be interesting, however, to survey a sample of jazz ballet enthusiasts to see whether any have an uninfected bursa in this site.
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Rouvroy et al. (1987) studied this question.