The internal saphenous vein and nerve lie just behind the internal border of the tibia, and below pass in front of the internal malleolus.
There is also a venous arch to be seen, the two extremities of which pass respectively into the external and internal saphenous veins.
Between the two, in the mid-line of the calf, the external saphenous vein and nerve lie, while lower down they pass behind the external malleolus to the outer side of the foot.
In the middle third of the thigh the internal saphenous nerve is situated on the outer side of the artery, but not usually in the same sheath with the artery.
The second layer is comparatively devoid of adipose or fatty tissue and in this we find the trunks of the subcutaneous vessels and nerves, as for example, the radial and ulnar veins in the arms and the saphenousvein in the leg.
The internal long saphenous vein is mistaken frequently for the femoral artery.
A vestige of thissaphenous artery, however, remains in Man as the anastomotica magna.
The needle should in most cases be passed from the inner side, care being taken to avoid including the vein which is on the inner side and behind the vessel; the internal saphenous nerve, if seen, should be avoided.
This is the layer of fibres, pierced (as its name implies) with orifices for the passage of veins and lymphatics, which stretches between the two curved edges of the saphenous opening.
The curative or operative treatment of varicose veins consists of performing a resection of the internal saphenous vein of one or two inches, near the saphenous opening into the femoral.
Mayo's operation consists of the total extirpation of the internalsaphenous vein from the saphenous opening to the internal malleolus.
It especially appears in the long saphenous vein, which, being subcutaneous, has no muscular aid in supporting the blood-column and in urging it on.
I have a lady now under my observation, in whom the secondary neuralgia of the saphenous nerve has become even more intolerable than the pain in the sciatic, which was the nerve primarily affected.
For some reason unexplained, it happens that this saphenous nerve is specially liable to be affected in a reflex manner: for instance, this happens in a considerable number of cases of sciatica.
There is also loss of sensation below the knee except along the course of the long saphenous nerve on the medial side of the leg and foot.
These pouches vary in size from a bean to a hen's egg, the larger forms being called venous cysts, and being most commonly met with in the region of the saphenous opening and of the opening in the popliteal fascia.
The diagnosis is to be made from such other swellings in the groin as hernia, lipoma, or cystic pouching of the great saphenous vein.
The popliteal glands include one superficial gland at the termination of the small saphenous vein, and several deeper ones in relation to the popliteal vessels.
The femoral glands lie vertically along the upper part of the great saphenous vein, and receive lymph from the leg and foot; from them the lymph passes to the deep inguinal and external iliac glands.
Frequently a large branch establishes a communication between the systems of the great and small saphenous veins in the region of the popliteal space, or across the front of the upper part of the tibia.
When the pressure over the saphenous opening is removed, the blood rapidly rushes into the varicose vessels from above; this is known as Trendelenburg's test.
A new sheath may be provided for the tendon by resecting a portion of the great saphenous vein.
Ligation of the saphenous vein at two points, one above and the other below the distended ligamentous capsule, is an old operation, which has undoubtedly given good results in some cases, although it does not seem to be a rational procedure.
The small sciatic was occasionally injured in its course in the buttock, and the small saphenous in the leg.
The leg was normal except for slight enlargement of the internal saphenous vein and its branches, probably independent of the arterial lesion.
Hyperæsthesia in area of distribution of small saphenous and small sciatic nerves, which rapidly improved.
As cicatrisation progressed, the anæsthesia became more marked and was complete over the whole of the external saphenous area.
On the other hand, anæsthesia or hyperæsthesia in the area of distribution of the lumbar nerves in the groin, the external cutaneous and the long saphenous in the thigh, were not uncommon.
It is important to note that these fatal cases of pulmonary embolism occur when they are least expected, and it is an unusual sequence in patients with obvious thrombosis of the femoral and saphenous veins.
The saphenous opening, spermatic cord, and femoral vessels in relation to femoral hernia.
The lax and pendulous cord, which in this case, overlies the upper part of the saphenous opening.
The femoral vein, O, Plate 30, is separated from the falciform margin, S s, of the saphenous opening by one of these septa.
Immediately above and below its pubic extremity appear the external ring and the saphenous opening.
The pubic part of the fascia lata forming the inner and posterior boundary of the saphenous opening.
Plate 44, and F, the falciform edge of the saphenous opening.
Glands in the neighbourhood of the saphenous opening.
In the living body the course of the distended saphenous vein may be traced beneath the skin, and easily avoided in surgical operations upon the parts contained in this region.
He unequivocably had a clot in the saphenous vein and at this time was placed on bed rest, antibiotics, anticoagulants and responded very satisfactorily.
He developed a superficial saphenous thrombophlebitis in the right leg, not the one that the injury occurred in.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "saphenous" in a variety of sentences. We hope that you will now be able to make sentences using this word.
