Intended for healthcare professionals

Rapid response to:

Research Christmas 2008: Music

Head and neck injury risks in heavy metal: head bangers stuck between rock and a hard bass

BMJ 2008; 337 doi: (Published 18 December 2008) Cite this as: BMJ 2008;337:a2825

Rapid Response:

Heavy Metal Music: Associated Breast Injuries

As a somehwhat aging "headbanger" myself I was interested in the
article by Patton and MacIntosh. However they failed to mention the more
modern development of associated headbanging behaviour known as the "Mosh
Pit." At a recent Black Sabbath concert (Heaven and Hell line up re-union
with Dio as lead singer)it would appear that they thought it necessary to
engage a number of more modern thrash metal bands in order to attract a
younger audience. During the set by "Lamb of God" I was amazed to see
what appeared to be fight breaking out in front of the stage. People were
pushing, punching, kicking each other with abandon. I made some enquiries
from younger members of the audience and apparently this is referred to as
"Moshing." This must surely represent a greater risk of injury than the
more traditional headbanging and I was glad to see it all stopped once
Sabbath took the stage.
I have seen a case of extensive
bruising to the breasts associated with underlying fat necrosis caused by
trauma inflicted during a "Moshing" session - a case of "Mosh Pit" breast

Competing interests:
None declared

Competing interests: No competing interests

25 December 2008
Philip J Drew
Professor / Consultant Breast Surgeon
Royal Cornwall Hospitals Trust