The endochondral ossification and intramembranous ossification are the two mechanisms of bone formation during embryonic development. Both mechanisms give rise to histologically identical bone tissue.
Endochondral ossification requires a cartilage cast and is the ossification mechanism for most of the long and short bones in the body. This process of bone formation occurs in two stages: 1) a miniature model of hyaline cartilage is formed; 2) cartilage continues to grow and serves as a structural skeleton for bone formation. Cartilage is reabsorbed as it is replaced by bone.
It is called endochondral because ossification occurs from the inside out, to differentiate it from perichondral ossification that occurs from the outside (from the perichondrium) to the inside..
Ossification means bone formation. This bone formation is produced by the action of osteoblasts that synthesize and secrete the bone matrix, which is then mineralized.
Ossification begins at a site in the cartilage called the ossification center or bone nucleus. There may be several of these centers that rapidly fuse to form a primary ossification center from which the bone will develop.
In the fetus, in the region where bone is to be formed, a model of hyaline cartilage develops. Hyaline cartilage is formed by the differentiation of mesenchymal cells. It contains type II collagen and is the most abundant in the body. From this cartilage, ossification occurs.
In the regions where the cartilage is to be formed, the mesenchymal cells are grouped and modified, losing their extensions and becoming rounded. This is how chondrification centers are formed. These cells transform into chondroblasts, secrete matrix and become trapped, forming the so-called "gaps".
The matrix-surrounded chondroblasts that form the gaps are called chondrocytes. These cells divide and, as they secrete matrix, they separate, forming new gaps and as a consequence, generating cartilage growth..
This type of growth occurs from the inside out and is called interstitial growth. The mesenchymal cells that surround the cartilage differentiate into fibroblasts and go on to form the perichondrium that surrounds the cartilaginous skeleton..
Initially, the cartilage grows, but then the chondrocytes in the center hypertrophy, accumulate glycogen, and form vacuoles. This phenomenon reduces the matrix partitions, which in turn calcify..
This is how the process of bone formation begins from a primary ossification center that, through a sequential process, replaces the cartilage that is reabsorbed and bone is formed..
Secondary centers of ossification are formed at the ends of the bony epiphyses by a mechanism similar to that of the ossification of the diaphyses, but they do not form the bony collar.
In this case, the osteoprogenitor cells that invade the cartilage of the epiphysis transform into osteoblasts and begin to secrete the matrix, which eventually ends up replacing the cartilage of the epiphysis with bone..
Endochondral ossification is accomplished through seven processes that are described below.
A model of hyaline cartilage covered with a perichondrium is formed. This occurs in the embryo, in the region where the bone will later develop. Some chondrocytes hypertrophy and then die and the cartilage matrix calcifies.
The middle membrane of the diaphysis is vascularized in the perichondrium. In this process, the perichondrium becomes the periosteum and the chondrogenic cells become osteoprogenitor cells..
The newly formed osteoblasts synthesize matrix and form a bony collar just below the periosteum. This collar prevents the diffusion of nutrients towards the chondrocytes.
Chondrocytes within the center of the diaphysis that had hypertrophied, not receiving nutrients, die and degenerate. This leaves confluent empty vacuoles in the center of the diaphyses that then form the medullary cavities of the bone..
Osteoclasts begin to form “holes” in the subperiosteal bone collar through which the so-called osteogenic bud enters. The latter is made up of osteoprogenitor cells, hematopoietic cells, and blood vessels. This initiates calcification and bone production..
Histologically, calcified cartilage stains blue (basophilic) and calcified bone stains red (acidophilus). Osteoprogenitor cells give rise to osteoblasts.
These osteoblasts make the bone matrix that is deposited in the calcified cartilage, then that newly formed matrix is calcified and at that time the complex of calcified cartilage and bone is produced..
Osteoclasts begin to resorb the calcified cartilage and bone complex as the subperiosteal bone thickens, growing in all directions within the diaphysis. This resorption process increases the size of the medullary canal..
The thickening of the subperiosteal bone collar grows towards the epiphyses and, little by little, the cartilage of the diaphyses is completely replaced by bone, leaving cartilage only in the epiphyses.
This growth process lasts for several years before it is complete and in the process the bone is constantly remodeled.
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