Tarsal Tunnel Syndrome Secondary to Cosmetic Silicone Injections

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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