The “Cone-Head” sign: Magnetic resonance image findings of the “Headspin Hole”, an overuse injury found in breakdancers

Korczynski, Michael S.; Nguyen, Andrew A.; Snyder, Travis

doi:10.1016/j.radcr.2020.01.038

Cited by 2 publications

(9 citation statements)

References 7 publications

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“…5,7 On MRI, thickening and hypertrophy of the connective tissue and aponeurosis can be seen at the epicranium, and fibroadipose tissue is observed at the skull vertex. 8 These imaging findings are consistent with scarred and fibrotic tissue, described as the “cone-head” sign. 8…”

Section: Introductionsupporting

confidence: 63%

“…8 These imaging findings are consistent with scarred and fibrotic tissue, described as the “cone-head” sign. 8…”

Section: Introductionsupporting

confidence: 63%

“…Breaking is a relatively new form of dance that presents with its own unique set of overuse disorders. 5,7 A unique overuse syndrome in this population is “headspin hole.” 5,7,8 This is the first attempt at statistically comparing the incidence of self-reported alopecia in breakers versus other styles. B-boys and b-girls were significantly more likely to report loss of hair, concern for hair loss, and hair loss affecting their dancing.…”

Section: Discussionmentioning

confidence: 99%

“…Existing literature shows that these dancers experience significantly more injuries than dancers of other styles, including hip hop, popping, locking, and house. 2,4,6 It is of note that this population also suffers from a unique form of alopecia, labeled as a “headspin hole.” 7-9…”

Section: Introductionmentioning

confidence: 99%

“…These include a well-demarcated circular area of alopecia on the top of the head, a linear anterior-posterior pattern, occipital or parietal pattern of hair loss based on the movements that are being performed. 5,8,9,20…”

Section: Introductionmentioning

confidence: 99%

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A Cross-Sectional Study Comparing Traumatic Alopecia Among B-Boys and B-Girls to Other Dance Styles and Its Impact on Dance Performance and Health

Hall

Lim

Kim

et al. 2023

Journal of Dance Medicine & Science

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Introduction: Breaking, often mislabeled as breakdancing in the media, is a dance style originating from the Bronx of New York in the early 1970s. A unique condition in this population is a form of alopecia known as “headspin hole,” or “breakdancer overuse syndrome” of the scalp. This form of hair loss may show a variety of patterns based on the activities of the dancer. The purpose of this study was to investigate the relationship between alopecia and breaking, the level of concern dancers have regarding hair loss, barriers to medical treatment, and how it affects their dancing. Methods: This was a cross-sectional study using an online survey. The survey addressed participants’ demographics, hair, dancing styles, training, and health history. Questions about the effects of hair loss on the participants were also asked. Results: This study found that there was a significant difference in hair loss among breakers compared to non-breakers. This was not seen after controlling for age and sex. However, the concern for hair loss was significant even after controlling for these variables. Similarly, hair loss was significantly associated with the frequency of headspins. Despite these concerns, breakers were less likely to seek medical attention. Conclusions: This study showed that there are significant disparities in hair loss between breaking and other dance styles. Hair loss due to breaking has been shown to have significant effects on an individual’s concerns, which may be compounded by the fact that this population is less likely to seek out medical care and have significantly greater substance use compared to the other dancers surveyed. Further research is necessary to investigate interventions to prevent and treat hair loss in this population and the means to decrease the gap in health care in the dance population.

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