'Headspin hole': Man develops 30cm scalp tumour after decades of breakdancing

Researchers in Denmark have published a case report revealing an unexpected consequence of one of breakdancing's most iconic moves: the headspin.

WARNING: Graphic image below

Breakdancing, or breaking as it's called by its athletes, made its debut as an official sport at Paris 2024, with Australia's own Raygun making global headlines.

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An MRI of a breaker's head shows the tumor that doctors believe developed due to repeated headspins. BMJ Case Reports 2024

Breakers compete in battles judged on criteria like execution, musicality, originality and technique.

Although breaking is celebrated for its athleticism and creativity, it also comes with physical risks.

These can include carpal tunnel syndrome and other nerve problems, as well as a condition known in the breaking community as headspin hole, an overuse injury that can affect the scalp.

The condition typically begins with hair loss but can develop into a significant bump on the top of the head.

In the case report, published today in the medical journal BMJ, a man in his early 30s who had been breaking for nearly 20 years was treated for a benign tumour that had grown over 30cm long and more than 2.5cm thick.

The condition, sometimes referred to as breakdance bulge, is thought to be caused by repeated friction between the scalp and the floor during headspins, compounded by the pressure exerted during the move.

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Breakdance tumour

"We believe the condition results from repeated friction between the head and the floor, combined with the weight-bearing nature of headspins, accumulated over years of breakdancing," Dr Christian Baastrup Søndergaard, a neurosurgery specialist at Rigshospitalet in Copenhagen, said.

"This repetitive strain on the skull, scalp and skin likely triggers inflammation, and over time, minor bleeding may lead to thickened skin and scar tissue, forming the characteristic bulge."

Søndergaard, a co-author of the case report, treated the patient.

The patient reported discomfort and soreness and said he avoided public outings without a hat to conceal the bump.

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Breakdance tumour

After surgeons removed the growth, the patient expressed relief: "It's great to be able to go out in public without a cap or hat. Many people tell me they don't notice the bump anymore and that my head looks completely normal."

Despite some awareness of the condition within the breaking community, medical literature on "headspin hole" remains limited, according to the case report.

Users on Reddit's r/bboy community, an online forum for breakers, have discussed developing bald spots over time and shared tips like wearing padded beanies or adding gel pads under a hat while performing the maneuver.

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'Headspin hole': Man develops 30cm scalp tumour after decades of breakdancing
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