‘Headspin hole’: an overuse injury among breakdancers

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.