=V. cephalica= (Fig. 130).--Several superficial branches lying in the
palm of the hand unite to form a common trunk which curves about the
radial side of the wrist and here unites with a similarly formed trunk
from the dorsum of the hand. The vein formed by this union, vena
cephalica (antibrachii) (_c_), passes to the elbow accompanying the
radial nerve (_g_) and the collateral radial artery (_d_), and lying on
the extensor carpi radialis longus muscle just beneath the integument.
It receives small lateral superficial branches. At the elbow it divides
into two: these are the vena cephalica (humeri) (_a_) and the =vena
mediana cubiti= (_b_). The latter passes beneath the pectoantibrachialis
muscle, across the biceps, and unites with the brachial vein in the
concavity of the elbow.
The vena cephalica (humeri) passes at the elbow onto the upper arm,
following the lateral border of the clavobrachial muscle. It thus
reaches the acromiodeltoid muscle, where it divides into two branches.
One passes inward beneath the acromiodeltoid, and joins the vena
circumflexa posterior (a branch of the axillary). The second continues
over the outer surface of the shoulder, and finally joins the vena
transversa scapulæ (a branch of the external jugular).
D. =V. jugularis externa= (Fig. 131; Fig. 65, 5, page 109).--The
external jugular vein comes from the head and face. It is formed by the
junction of the anterior (Fig. 131, _c_) and posterior (_b_) facial
veins near the ventral border of the sternomastoid muscle. It passes
thence obliquely across the sternomastoid to the triangular interval
between it and the clavotrapezius. In the interval it receives a small
branch which accompanies the branch of the transversa scapulæ artery to
the clavobrachialis muscle, receives next the common trunk of the vena
cephalica and transversa scapulæ, and opposite the cranial end of the
manubrium receives the internal jugular vein (Fig. 129, _l_). It then
unites with the subclavian to form the innominate vein. Near the point
where it receives the internal jugular the external jugular vein
receives the =thoracic duct= (Fig. 118, 5).
Branches of the external jugular:
_a._ =V. transversa scapulæ.=--This follows the course of the artery of
the same name. One of its branches receives one of the two terminal
divisions of the vena cephalica (q. v.). In many cases veins which
correspond to branches of the transversa scapulæ artery enter the
external jugular separately (as shown in Fig. 118, _x_ and _y_).
_b._ =V. cervicalis ascendens.=--A small branch which follows the
corresponding branch of the thyrocervical axis.
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