Department of Neurosurgery at Copenhagen University Hospital, Capital Region of Denmark, Copenhagen, Denmark.
Department of Neurosurgery at Copenhagen University Hospital, Capital Region of Denmark, Copenhagen, Denmark
BMJ Case Rep. 2024 Oct 10;17(9):e261854. doi: 10.1136/bcr-2024-261854.
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.
本病例报告聚焦于“头部旋转孔”，这是一种在霹雳舞舞者中由反复头部旋转引起的独特过度使用损伤。其表现为头皮上的纤维状肿块、脱发和触痛。关于这种情况的文献有限。我们报告了一个详细的病例，一名 30 岁出头的男性霹雳舞舞者，在广泛的头部旋转练习 5 年后，头部出现明显的隆起。MRI 显示明显的帽状腱膜下纤维化和皮下组织增厚，符合“锥形头征”。患者成功接受了手术肿瘤切除，实现了美容改善和症状缓解。组织学分析显示广泛的纤维化，无恶性肿瘤。术后随访显示患者满意度高，肿块明显缩小。本病例强调了识别霹雳舞舞者慢性头皮状况的重要性，并表明手术干预可能是一种有效的治疗方法。
