336 THE INFERIOR EXTREMITY 



medial terminal branch of the superficial peroneal nerve was 

 found, or the communicating branch from the sural nerve to 

 the lateral terminal branch of the superficial peroneal nerve 

 was found, follow one or the other of those branches upwards 

 to the trunk. Otherwise cut down through the fat, at the 

 junction of the middle and distal thirds of the leg, about 25 mm. 

 to the medial side of the fibula, and secure the trunk of the 

 superficial peroneal nerve as it pierces the deep fascia. Follow 

 it distally to its division into medial and lateral branches, 

 and then trace each of the branches and their subdivisions to 

 their terminations on the toes. One of the subdivisions passes 

 to the medial side of the great toe. A second passes to the cleft 

 between the first and second toe ; follow it with care, and find, 

 springing from its medial side, a twig of communication to the 

 medial division of the deep peroneal nerve. Follow the twig 

 of communication, secure the medial division of the deep 

 peroneal nerve, and follow its two terminal branches to the 

 adjacent sides of the first and second toes. 



Vense Superficiales (the Cutaneous Veins of the Dorsum 

 of the Foot and the Front of the Leg). The cutaneous veins 

 of the dorsum of the foot and the anterior region of the leg 

 are the digital veins, the dorsal venous arch, and the parts 

 of the great and small saphenous veins. 



There are two dorsal digital veins in each toe, one on each 

 side of the dorsum of the toe. The medial dorsal digital vein 

 of the great toe joins with the medial end of the dorsal venous 

 arch to form the commencement of the great saphenous 

 vein, and the lateral dorsal digital vein of the little toe unites 

 with the lateral end of the dorsal venous arch to form the 

 small saphenous vein. The two dorsal digital veins which 

 run along the adjacent sides of each of the four interdigital 

 clefts unite at the apices of the clefts to form a common 

 stem, and the four stems thus formed, which are sometimes 

 called the common digital veins, end in the dorsal venous 

 arch. 



The dorsal venous arch lies in the superficial fascia on 

 the anterior parts of the bodies of the metatarsal bones, 

 superficial to the terminal branches of the superficial peroneal 

 nerve. Its medial end, joining with the medial dorsal digital 

 vein of the great toe, forms the commencement of the great 

 saphenous vein, and its lateral end unites with the lateral 

 dorsal digital vein of the little toe in the formation of the 

 small saphenous vein. 



The majority of the superficial veins of the front of the 

 leg pass medially and upwards, and they terminate in the 

 great saphenous vein, and as the great saphenous vein lies 



