Trochlea of the superior oblique

Trochlea musculi obliqui superioris

Sensory (eye & ear)Deep musclesHeadLeft and right

View left in 3D View right in 3D

What it is
A small U-shaped loop of fibrocartilage attached to the trochlear fossa of the frontal bone, just inside the upper inner orbital rim, lined by a synovial sheath.
Function
Acts as a pulley that redirects the pull of the superior oblique tendon backward and outward.
Size
~4-6 mm long; lies about 17 mm medial and 17 mm above the eye centre, just behind the rim.
Clinical note
Inflammation here (trochleitis) causes pain at the inner upper corner of the orbit on looking up; the Brown syndrome is a tight tendon-trochlea complex that limits elevation in adduction.