Reference > Anatomy of the Human Body > Page 663
Henry Gray (1825–1861).  Anatomy of the Human Body.  1918.

The Deep Veins of the Upper Extremity
  The deep veins follow the course of the arteries, forming their venæ comitantes. They are generally arranged in pairs, and are situated one on either side of the corresponding artery, and connected at intervals by short transverse branches.

Deep Veins of the Hand.—The superficial and deep volar arterial arches are each accompanied by a pair of venæ comitantes which constitute respectively the superficial and deep volar venous arches, and receive the veins corresponding to the branches of the arterial arches; thus the common volar digital veins, formed by the union of the proper volar digital veins, open into the superficial, and the volar metacarpal veins into the deep volar venous arches. The dorsal metacarpal veins receive perforating branches from the volar metacarpal veins and end in the radial veins and in the superficial veins on the dorsum of the wrist.
  The deep veins of the forearm are the venæ comitantes of the radial and ulnar veins and constitute respectively the upward continuations of the deep and superficial volar venous arches; they unite in front of the elbow to form the brachial veins. The radial veins are smaller than the ulnar and receive the dorsal metacarpal veins. The ulnar veins receive tributaries from the deep volar venous arches and communicate with the superficial veins at the wrist; near the elbow they receive the volar and dorsal interosseous veins and send a large communicating branch (profunda vein) to the vena mediana cubiti.

FIG. 575– The deep veins of the upper extremity. (Bourgery.) (See enlarged image)

  The brachial veins (vv. brachiales) are placed one on either side of the brachial artery, receiving tributaries corresponding with the branches given off from that vessel; near the lower margin of the Subscapularis, they join the axillary vein; the medial one frequently joins the basilic vein.
  These deep veins have numerous anastomoses, not only with each other, but also with the superficial veins.
  The axillary vein (v. axillaris) begins at the lower border of the Teres major, as the continuation of the basilic vein, increases in size as it ascends, and ends at the outer border of the first rib as the subclavian vein. Near the lower border of the Subscapularis it receives the brachial veins and, close to its termination, the cephalic vein; its other tributaries correspond with the branches of the axillary artery. It lies on the medial side of the artery, which it partly overlaps; between the two vessels are the medial cord of the brachial plexus, the median, the ulnar,


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