750 THE LYMPHATIC SYSTEM 



anterior tibial node, when it is present, and then passing backward to join the 

 vessels which accompany the posterior tibial and peroneal arteries. These 

 terminate in the popliteal nodes, from which efferents follow the course of the 

 femoral artery and terminate in the deep inguinal nodes. The deep lymphatic 

 vessels accompanjdng the gluteal and obturator arteries pass to the hypogastric 

 nodes. 



Lymphatics of the hip-joint. — According to Clermont, they accompany, in the main, the 

 arteries about the joint. (1) Satellites of the anterior circumflex artery, draining almost the 

 entire ventral surface, pass to the lateral inferior external iliac node. (2) Satellites of the pos- 

 terior circumflex artery, draining the dorsal and medial surfaces, empty into the medial inferior 

 external iliac node, occasionally into one of the deep inguinal nodes. (3) Satellites of the 

 obturator vessel, draining the round ligament, empty into the obturator or hypogastric nodes. 

 (4) SateUites of the inferior gluteal vessels, draining the dorsal surface, empty into three small 

 nodes along the internal pudic and inferior gluteal arteries. Less important ("accessory") 

 vessels are: satellites of the superior gluteal artery leading to a gluteal node; vessels from the 

 dorsal surface which cross the lateral border of the pectineus to reach the medial inferior 

 external iliac node; and vessels from the ventral surface, crossing parallel to the cotyloid notch, 

 passing under the psoas to the lateral inferior external iliac or one of the deep inguinal nodes. 



Lymphatics of the knee-joint. — According to Tanasesco the lymphatics draining the struc- 

 tures around the knee-joint in the main foUow the arteries about the joint and pass largely to 

 the more deeply placed of the popliteal nodes. Some (superficial) follow the great saphenous 

 vein to the subinguinal nodes, and sometimes deep vessels pass the popliteal nodes and, ac- 

 companying the femoral artery, run to the deep inguinal or inferior external iliac. 



References for lymphatic system. — {Develo-pment) : Sabin, Amer. Jour. 

 Anat., vols. 1, 3, 4, 9, also in Keibel and Mall's Human Embryology; Lewis, 

 Amer. Jour. Anat., vols. 5, 9; Huntington and McClure, Amer. Jour. Anat., 

 vol. 10; Clark, E. L., Anat. Record, vol. 6; Clark, E. R., Amer. Jour. Anat., 

 vol. 13. (Regeneration) : Meyer, Johns Hopkins Hosp. Bui., vol. 17. (General) : 

 Bartels, in von Bardeleben's Handbuch d. Anatomie; Sappey, ''Description 

 et Iconographie des Vaisseaux Lymphatiques," Paris, 1885; Teichmann, "Das 

 Saugadersystem," Leipzig, 1861. (Muscle, etc.): Aagaard, Anat. Hefte, Bd. 47. 

 (Connective tissue): von Recklinghausen, "Die Lymphgefasse u. ihre Beziehung 

 zum Bindegewebe," Berlin, 1862. (Stomata) : Walter, Anat. Hefte, Bd. 46. 

 (Lung): Miller, Anat. Rec.,vol. 5. (Teeth): Schweitzer, Arch. f. mikr. Anat., 

 Bd. 74. (Hcemolym'ph glands): von Schumacher, Arch. f. mikr. Anat., Bd. 81. 

 Tumors): Evans, Beitr.z. klin. Chir., Bd. 78. 



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