Valve failure with reflux and post-thrombotic syndrome are the factors most commonly correlated with varicose disease. Other rare etiologies can be put forward when these two main causes are ruled out. We report a case in which a young man presented chronic pain in the left tibia, varicose veins in the lower limbs and frequent occurrences of erysipelas. During investigation of the etiology of the varicose veins, radiographs and magnetic resonance imaging of the left leg were requested. These showed images suggestive of an osteolytic lesion in the tibia, but led us to the diagnosis of an intraosseous vein with anomalous drainage. This was confirmed through vascular examinations comprising Doppler venous flow measurement and phlebography. Recognition of this rare intraosseous anomaly is fundamental for proper patient management, but an intraosseous surgical approach is unnecessary.

Objective: To perform a functional evaluation of peroneus brevis tendon transfer using an interference screw fixation in chronic Achilles tendon injuries. Methods: This was a cross-sectional, retrospective and observational study with medical record reviews and a convenience sample of ten (10) patients who underwent surgery between January 2013 and June 2017. The following clinical aspects were evaluated: sex, age group, race, affected side, injury time, distal stump size, gap between stumps, AOFAS questionnaire (pre- and 3 and 6 months postoperatively), patient satisfaction with treatment and complications. Results: The mean subject age was 38.1 years; subjects were predominantly male (80%), and with respect to laterality, the right side was predominant. The paratendinous posterolateral incision technique was used, with the identification and use of the peroneus brevis associated with bone tunnel fixation onto the Achilles using an interference screw. Surgical planning of the technique followed the same procedure in all cases. Two complications occurred during evolution when considering the early and late postoperative periods. Conclusion: The treatment of Achilles tendon injuries with this technique proved to be a good option for chronic injuries with satisfactory results in terms of maintenance of functionality and patient satisfaction postoperatively. Level of Evidence III; Prognostic Studies; Retrospective Study.

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