CASE REPORT | May 6, 2026
A Flesh-Eating Disease of the Hand: Why is Necrotizing Fasciitis So Dangerous?
Younes Chagar, Ilias Chagar, Omar Aguenaou, Mohammed Reda Fekhaoui Zerhouni, Jalal El Mekkaoui, Moncef Boufettal, Reda-allah Bassir, Moulay Omar Lamrani
Page no 72-75 |
https://doi.org/10.36348/sijap.2026.v09i03.001
Necrotizing fasciitis or "flesh-eating disease," is a rare and serious infection that can kill a person in less than a day. Early diagnosis and appropriate treatment can avoid serious complications that can lead to death. Herein, we report three cases of necrotizing fasciitis of the hand admitted to the emergency department and detail their management, from the diagnosis to the outcome. Before causing death, necrotizing fasciitis causes massive destruction of the soft tissue and bones, even in early diagnosed patients. The diagnosis is challenging, even for orthopedic surgeons. Once it is suspected, "acting fast" is mandatory, and so the orthopedic surgeon should be alerted.
REVIEW ARTICLE | June 26, 2026
Anatomical Variations in the Branching Pattern of the Abdominal Aorta: A Comprehensive Review with Clinical Implications
M Rajesh Naik, Vaibhav Anjankar, Anupama Sawal, Nishigandha Sadamate
Page no 76-83 |
https://doi.org/10.36348/sijap.2026.v09i03.002
The abdominal aorta is the principal arterial conduit supplying the abdominal viscera, retroperitoneal organs, abdominal wall, and lower extremities. Although the classical branching pattern described in standard anatomical textbooks is commonly encountered, numerous variations have been documented in cadaveric, angiographic, and radiological studies. These variations arise during embryological development due to persistence, regression, or anomalous fusion of primitive ventral and lateral splanchnic arteries. Anatomical variations may involve the celiac trunk, superior mesenteric artery, inferior mesenteric artery, renal arteries, gonadal arteries, lumbar arteries, and terminal bifurcation of the aorta. Recognition of these variations has become increasingly important in modern clinical practice because of the widespread use of endovascular procedures, organ transplantation, laparoscopic surgeries, oncological resections, and interventional radiology techniques. Failure to identify anomalous vessels can result in inadvertent vascular injury, ischemic complications, hemorrhage, and unsuccessful surgical outcomes. Advances in multidetector computed tomography angiography and magnetic resonance angiography have substantially improved the detection and characterization of vascular variants before intervention. This review summarizes the embryological basis, prevalence, classification, and clinical significance of major abdominal aortic branching variations reported in the literature. Understanding these anatomical patterns is essential for anatomists, radiologists, vascular surgeons, transplant surgeons, urologists, and gastroenterologists to facilitate safe surgical planning and improve patient outcomes.
ORIGINAL RESEARCH ARTICLE | June 29, 2026
Traumatic Dislocation of the Fibular Tendons in Footballers: A Series of 11 Cases
Younes Chagar, Ilias Chagar, Omar Aguenaou, Mohammed Reda Fekhaoui Zerhouni, Jalal El Mekkaoui, Moncef Boufettal, Mohamed Kharmaz, Moulay Omar Lamrani
Page no 84-88 |
https://doi.org/10.36348/sijap.2026.v09i03.003
This is a retrospective study of 11 cases of traumatic dislocation of the fibular tendons in footballers, collected from the archives of the Department of Orthopedic Trauma Surgery at Avicenne Hospital, University Hospital Center of Rabat, from 2016 to 2025. The aim of this work is to study the epidemiological, clinical, paraclinical, and surgical characteristics of this entity. Dislocation of the fibular tendons is a rare lesion, accounting for less than one percent of ankle injuries. The mean age of our patients was 25.8 years. All patients were male (100%). The impairment was exclusively unilateral (100%), with no preferential side. The etiologies were dominated by sports activity. A total of 85.7% of cases had a prior medical history, predominantly ankle sprains. Imaging confirmed the diagnosis and allowed classification according to Davis and Eckert. All patients underwent surgical treatment based on the creation of a fibro-periosteal flap, supplemented by systematic immobilization for 6 weeks in a resin boot. At a mean follow-up of 5 years, ligament stabilization was achieved in the entire study population within 6 to 8 weeks, with resumption of sports activity at 3 months.