|Henry Gray (18251861). Anatomy of the Human Body. 1918.|
|form a trunk, which passes around the metacarpal bone of the index finger to join the vessels on the back of that digit and on the back of the thumb. Running upward in front of and behind the wrist, the lymphatic vessels are collected into radial, median, and ulnar groups, which accompany respectively the cephalic, median, and basilic veins in the forearm. A few of the ulnar lymphatics end in the supratrochlear glands, but the majority pass directly to the lateral group of axillary glands. Some of the radial vessels are collected into a trunk which ascends with the cephalic vein to the deltoideopectoral glands; the efferents from this group pass either to the subclavicular axillary glands or to the inferior cervical glands.|
| The deep lymphatic vessels accompany the deep bloodvessels. In the forearm, they consist of four sets, corresponding with the radial, ulnar, volar, and dorsal interosseous arteries; they communicate at intervals with the superficial lymphatics, and some of them end in the glands which are occasionally found beside the arteries. In their course upward, a few end in the glands which lie upon the brachial artery; but most of them pass to the lateral group of axillary glands.|
FIG. 609 Lymph glands of popliteal fossa. (Poirier and Charpy.) (See enlarged image)
|5. The Lymphatics of the Lower Extremity|
The Lymph Glands of the Lower ExtremityThe lymph glands of the lower extremity consist of the anterior tibial gland and the popliteal and inguinal glands.
| The anterior tibial gland (lymphoglandula tibialis anterior) is small and inconstant. It lies on the interosseous membrane in relation to the upper part of the anterior tibial vessels, and constitutes a substation in the course of the anterior tibial lymphatic trunks.|
| The popliteal glands (lymphoglandulæ popliteæ) (Fig. 609), small in size and some six or seven in number, are imbedded in the fat contained in the popliteal