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Sports and exercise medicine
‘Headspin hole’: an overuse injury among breakdancers
  1. Mikkel Bundgaard Skotting and
  2. Christian Baastrup Søndergaard
  1. Department of Neurosurgery at Copenhagen University Hospital, Capital Region of Denmark, Copenhagen, Denmark
  1. Correspondence to Dr Christian Baastrup Søndergaard; christian.baastrup.soendergaard.01{at}regionh.dk

Abstract

This case report focuses on ‘headspin hole’, a unique overuse injury in breakdancers caused by repetitive headspins. It manifests as a fibrous mass on the scalp, hair loss and tenderness. The literature on this condition is limited. We present a detailed case report of a male breakdancer in his early 30s who developed a noticeable scalp protuberance over 5 years of extensive head-spinning practice. MRI showed significant subgaleal fibrosis and thickening of the subcutis, consistent with the ‘cone-head sign’. The patient underwent successful surgical tumour removal, leading to aesthetic improvement and symptom relief. Histological analysis showed extensive fibrosis with no malignancy. Postoperative follow-up indicated high patient satisfaction and a significant reduction of the mass. This case underscores the importance of recognising chronic scalp conditions in breakdancers and suggests that surgical intervention can be an effective treatment.

  • Accidents, injuries
  • Radiology

https://doi.org/10.1136/bcr-2024-261854

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    Footnotes

    • Contributors MBS and CBS were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, and critical revision for important intellectual content: Both authors gave final approval of the manuscript. ChatGPT 4-0 was used to proofread the segments: Summary, Background, Case report and Discussion. ChatGPT identified grammatical errors and suggested improvements for clarity and accuracy. The tool corrected sentence punctuation, spelling mistakes and word choice errors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.