What type of tissue are cartilage and ligaments made of?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 2, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Cartilage and Ligaments are Made of Connective Tissue

Both cartilage and ligaments are made of specialized connective tissue, with cartilage primarily composed of type II collagen and ligaments primarily composed of type I collagen.

Cartilage Composition

Cartilage is a specialized form of connective tissue with the following characteristics:

  • Primarily composed of type II collagen (90-95% of the collagen content) 1
  • Also contains types IX and XI collagen which help form cross-banded fibrils providing stiffness 1
  • Contains chondrocytes as the principal cellular component 2
  • Has an extracellular matrix (ECM) consisting of:
    • Water (80%)
    • Macromolecular framework of collagens (60% of dry weight)
    • Proteoglycans (25-35% of dry weight)
    • Non-collagenous proteins (15-20% of dry weight) 2

The structure of cartilage varies by location:

  • Peripheral zones contain smaller, flatter cells oriented parallel to the surface
  • Central zones contain larger, more rounded cells oriented perpendicular to the surface 2
  • Peripheral zones typically contain more collagen than central zones 1

Ligament Composition

Ligaments are dense fibrous connective tissues with these key features:

  • Primarily composed of type I collagen, which provides tensile strength 3
  • Also contains type III collagen, which forms an elastic network 3
  • Principal cellular component is fibroblasts 4
  • The ratio of type I to type III collagen affects the mechanical properties of the tissue 3

Differences Between Cartilage and Ligaments

The key differences between these connective tissues include:

  1. Collagen Type:

    • Cartilage: Predominantly type II collagen (90-95%) 1
    • Ligaments: Predominantly type I collagen 3
  2. Cellular Components:

    • Cartilage: Chondrocytes 2
    • Ligaments: Fibroblasts 4
  3. Vascularization:

    • Cartilage: Lacks vascular supply 1
    • Ligaments: Contains limited blood supply
  4. Function:

    • Cartilage: Provides resistance to pressure and compression 1
    • Ligaments: Provides tensile strength and connects bones to other bones 3

Special Case: Fibrocartilage

Fibrocartilage represents a transitional tissue between dense fibrous connective tissue and hyaline cartilage:

  • Contains high levels of type I collagen in addition to type II collagen 5
  • Lacks a perichondrium 5
  • Has a low number of chondrocytes 5
  • Is highly resistant to compression 5
  • Can change its composition over time in response to mechanical stresses 5

Origin of Connective Tissues

Traditionally, it was believed that connective tissue cells (fibroblasts, chondrocytes, etc.) originated solely from mesenchymal stem cells. However, recent research suggests that hematopoietic stem cells may also contribute to the origin of these adult mesenchymal tissues 4.

Clinical Implications

Understanding the composition of these tissues is important because:

  • Cartilage has limited healing capacity due to its lack of vascular and nerve supply 1
  • The ratio of collagen types can significantly impact tissue function and disease progression 3
  • Cell plasticity between different connective tissue types may be important for regenerative therapies 6

References

Guideline

Collagen Structure and Function

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Regulation of Collagen I and Collagen III in Tissue Injury and Regeneration.

Cardiology and cardiovascular medicine, 2023

Research

Hematopoietic stem cell origin of connective tissues.

Experimental hematology, 2010

Research

Types of Fibrocartilage.

Clinics in podiatric medicine and surgery, 2022

Research

Regenerative medicine and connective tissues: cartilage versus tendon.

Journal of tissue engineering and regenerative medicine, 2012

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.