Gluteal silicone injections and total hip arthroplasty: a case report

Journal of Medical Case Reports

Bernd A Ishaque²  Markus Rickert²  Erhan Basad¹  Gafar A Ahmed²  Jörn B Seeger² 

[1] ATOS Klinik Heidelberg, Bismarckstrasse 9-15, 69115 Heidelberg, Germany;Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstrasse 33, 35392 Giessen, Germany

关键词: Hip replacement;    Granuloma;    Avascular necrosis;    Injections;    Silicone;   

Others  :  821947
DOI  :  10.1186/1752-1947-8-140

 received in 2013-08-21, accepted in 2014-02-17,  发布年份 2014

【 摘 要 】

Introduction

Silicone injection is a common procedure in cosmetic surgery. Granuloma formation and migration are the most commonly observed complications.

Case presentation

We report an unusual case of avascular necrosis of the hip in a 41-year-old woman from Thailand presenting with hip pain. Subcutaneous nodules were observed in the clinical examination. A pelvic X-ray revealed necrosis of the right femoral head and histological analysis of the punctuated nodules showed a reaction of foreign body granulomas. During surgical treatment with a hip replacement solitary silicone cysts were removed.

Conclusions

This case report emphasizes that orthopedic surgeons treating patients with necrosis of the hip joint in combination with palpable granulomas in the gluteal region have to be aware of silicone augmentation and its potential complications before planning a hip replacement.

【 授权许可】

   
2014 Seeger et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

【 参考文献 】

• [1]Chastre J, Brun P, Soler P, Basset F, Trouillet JL, Fagon JY, Gibert C, Hance AJ: Acute and latent pneumonitis after subcutaneous injections of silicone in transsexual men. Am Rev Respir Dis 1987, 135:236-240.
• [2]Schmid A, Tzur A, Leshko L, Krieger BP: Silicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndrome. Chest 2005, 127:2276-2281.
• [3]Celli BR, Kovnat DM: Acute pneumonitis after subcutaneous injections of silicone. N Engl J Med 1983, 309:856-857.
• [4]Lopiccolo MC, Workman BJ, Chaffins ML, Kerr HA: Silicone granulomas after soft-tissue augmentation of the buttocks: a case report and review of management. Dermatol Surg 2011, 37:720-725.
• [5]Rapaport MJ, Vinnik C, Zarem H: Injectable silicone: cause of facial nodules, cellulitis, ulceration, and migration. Aesthetic Plast Surg 1996, 20:267-276.
• [6]Vergara R, Amezcua H: Intramuscular gluteal implants: 15 years’ experience. Aesthet Surg J 2003, 23:86-91.
• [7]Bartels RJ, O’Malley JE, Douglas WM, Wilson RG: An unusual use of the Cronin breast prosthesis. Case report. Plast Reconstr Surg 1969, 44:500.
• [8]Winer LH, Sternberg TH, Lehman R, Ashley FL: Tissue reactions to injected silicone liquids. A report of three cases. Arch Dermatol 1964, 90:588-593.
• [9]Wosnitzer B, Mirtcheva R: Silicone granulomas following free silicone gluteal augmentation. Radiol Case Rep 2011, 6:1-5.
• [10]Ellis LZ, Cohen JL, High W: Granulomatous reaction to silicone injection. J Clin Aesthet Dermatol 2012, 5:44-47.
• [11]Vinnik CA: Editorial: the hazards of silicone injections. JAMA 1976, 236:959.
• [12]Rapaport M: Regarding silicone injections. Dermatol Surg 1999, 25:915-916.
• [13]Clark RF, Cantrell FL, Pacal A, Chen W, Betten DP: Subcutaneous silicone injection leading to multi-system organ failure. Clin Toxicol (Phila) 2008, 46:834-837.