Juxta-Articular Synovial Hemangioma of the Ankle: A Rare Benign Tumor

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.