Tarsal Tunnel Syndrome Secondary to Cosmetic Silicone Injections

Abstract

Silicone has been implicated as a cause of inflammatory disorders in the body including synovitis and lymphangitis. Silicone particulate matter has been shown to cause a fairly severe chronic foreign body reaction with the use of silicone prosthesis in the foot. ^10,15,16 This reaction was often overlooked for years because of the limited number of subjective complaints. There are case reports of granulomatous inguinal lymphadenopathy following first metatarsophalangeal joint silicone arthroplasty. ^14,15 Similar findings have been noted in the axilla with hand implants ^2,5,7,9 and breast implants. ¹⁹ Of greater significance are two reports of malignant lymphoma found with silicate lymphadenopathy. ⁸