Kankane Anmol, Rustagi Ashish, Jain Utkarsh, Krishna Loveneesh, Talwar Jatin
Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Cureus. 2025 Apr 2;17(4):e81596. doi: 10.7759/cureus.81596. eCollection 2025 Apr.
Synovial hemangioma is a rare benign tumor with abnormal proliferation of blood vessels and is more common at the knee than at the ankle. We present the case of a 14-year-old male with an eight-year history of a progressively enlarging, painful swelling in the right ankle. Radiological investigations, including MRI, suggested a juxta-articular synovial hemangioma, which was confirmed on histopathology following ultrasound-guided biopsy. Initial management involved angiographic embolization; however, due to persistent symptoms, surgical intervention was performed. The patient underwent an en-bloc extracapsular excision, leading to full recovery with restored joint function and pain-free weight-bearing within six weeks postoperatively.
滑膜血管瘤是一种血管异常增殖的罕见良性肿瘤,在膝关节比踝关节更常见。我们报告一例14岁男性患者,其右踝关节有一个逐渐增大、疼痛性肿胀的八年病史。包括MRI在内的影像学检查提示为关节旁滑膜血管瘤,超声引导下活检后的组织病理学检查得以证实。初始治疗包括血管造影栓塞;然而,由于症状持续,进行了手术干预。患者接受了整块囊外切除术,术后六周内完全康复,关节功能恢复,无痛负重。