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It loops through a pulley-like structure (the trochlea of superior oblique) and inserts into the sclera on the posterotemporal surface of the eyeball.
It composed of two bones, the humerus and ulna, and is the junction between the trochlear notch of ulna and the trochlea of humerus.
On the lateral side is commonly a tubercle called the peroneal trochlea, under which is a groove for the tendon of the peroneus longus.
The superior oblique muscle ends in a tendon that passes through a fibrous loop, the trochlea, located anteriorly on the medial aspect of the orbit.
The trochlea has the capitulum located on its lateral side and the medial epicondyle on its medial.
Acquired cases that have active inflammation of the superior oblique tendon may benefit from local corticosteroid injections in the region of the trochlea.
Between the capitulum and the trochlea of the humerus is the capitulotrochlear groove.
The humerus also shares some features with extinct hominoids: a large medial epicondyle and a comparatively wide trochlea.
The trochlea is a ring-like apparatus of cartilage through which passes the tendon of the superior oblique muscle.
The groove running across the trochlea is, in most people, vertical on the anterior side but spirals off on the posterior side.
This prevents hyperextension and forms a hinge joint with the trochlea of the humerus.
One form of patellofemoral syndrome involves a tissue-related problem that creates pressure and irritation in the knee between the patella and the trochlea (patellar compression syndrome), which causes pain.
Owing to the obliquity of the trochlea of the humerus, this movement does not take place in the antero-posterior plane of the body of the humerus.
The body of the superior oblique muscle is located "behind" the eyeball, but the tendon (which is redirected by the trochlea) approaches the eyeball from the "front".
