Henry Gray (18251861). Anatomy of the Human Body. 1918.
glands and partly to the small paratracheal glands which accompany the recurrent nerves. These latter glands receive also the lymphatic vessels from the cervical portion of the trachea.
4. The Lymphatics of the Upper Extremity
The Lymph Glands of the Upper Extremity(Fig. 606).The lymph glands of the upper extremity are divided into two sets, superficial and deep.
The superficial lymph glands are few and of small size. One or two supratrochlear glands are placed above the medial epicondyle of the humerus, medial to the basilic vein. Their afferents drain the middle, ring, and little fingers, the medial portion of the hand, and the superficial area over the ulnar side of the forearm; these vessels are, however, in free communication with the other lymphatic vessels of the forearm. Their efferents accompany the basilic vein and join the deeper vessels. One or two deltoideopectoral glands are found beside the cephalic vein, between the Pectoralis major and Deltoideus, immediately below the clavicle. They are situated in the course of the external collecting trunks of the arm.
FIG. 607 Lymphatics of the mamma, and the axillary glands (semidiagrammatic). (Poirier and Charpy.) (See enlarged image)
The deep lymph glands are chiefly grouped in the axilla, although a few may be found in the forearm, in the course of the radial, ulnar, and interosseous vessels, and in the arm along the medial side of the brachial artery.
The Axillary Glands (lymphoglandulæ axillares) (Fig. 607) are of large size, vary from twenty to thirty in number, and may be arranged in the following groups:
1. A lateral group of from four to six glands lies in relation to the medial and posterior aspects of the axillary vein; the afferents of these glands drain the whole arm with the exception of that portion whose vessels accompany the cephalic