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December 28, 1984

Differential Diagnosis of Scrotal Pain After Break Dancing

Author Affiliations

Louisiana State University Medical Center School of Medicine in New Orleans

JAMA. 1984;252(24):3366. doi:10.1001/jama.1984.03350240016018

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To the Editor.—  It is becoming increasingly apparent that today's physician must understand and recognize the peril of societal fads and their application to the practice of medicine. This is illustrated by the recent dance craze called "break dancing."

Report of Cases.—  Within a six-week span, two break-dance enthusiasts, aged 12 and 16 years, came to the emergency room for evaluation of acute scrotal pain. The 12-year-old had been break dancing earlier on the day of evaluation and had pain in the left hemiscrotum that he described as sharp and of acute onset. Examination revealed a subcutaneous hematoma overlying the left testicle with moderate tenderness on palpation. This case was dismissed as a scrotal hematoma secondary to trauma during break dancing and managed conservatively. The 16-year-old had been break dancing the day prior to evaluation and had experienced only minimal scrotal pain until just before examination, which demonstrated a firm