THE LYMPH GLANDS AND VESSELS OF THE PELVIC LIMB

1. The =precrural= or =subiliac lymph glands= (Lg. subiliacæ) are

situated in the fold of the groin on the anterior border of the tensor

fasciæ latæ, about midway between the point of the hip and the patella

(Figs. 450, 451, 457). They lie on the course of the posterior branch of

the circumflex iliac artery, and number usually about a dozen. They

receive superficial lymph vessels from the hip, thigh, and flank. Their

efferent vessels ascend with the posterior circumflex iliac vein, enter

the abdomen near the external angle of the ilium, and join the external

iliac lymph glands.

2. The =deep inguinal lymph glands= (Lg. inguinales profundæ) form a

large group situated in the upper part of the femoral canal between the

pectineus and sartorius muscles (Figs. 451, 457). They cover the femoral

vessels and are related superficially to the inguinal ligament. They

receive nearly all of the lymph vessels of the limb below them. Their

efferent vessels ascend to the internal iliac glands.

3. The =popliteal lymph glands= (Lg. popliteæ), usually four to six in

number, lie behind the origin of the gastrocnemius and between the

biceps femoris and semitendinosus at the division of the posterior

femoral artery into its primary branches (Fig. 455). They receive the

deep lymph vessels of the distal part of the limb. Their efferent

vessels chiefly follow the course of the femoral vessels to the deep

inguinal glands, but one or two ascend in company with a vein along the

great sciatic nerve and may enter a gland at the lesser sciatic notch.

From this a vessel accompanies the internal pudic vein and joins the

internal iliac glands.

Several superficial lymph vessels ascend with or near the internal

metatarsal and saphenous veins, enter the femoral canal, and end in

the deep inguinal glands.

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