Growth of Long Bone - Endochondral Ossification
1. A layer of chondroblasts first lay down hyaline cartilage surrounded by a perichondrium. The perichondrium produces new cartilage populated by chondrocytes, increasing the thickness of the hyaline cartilage layer.
2. Eventually osteoblasts replace the chondroblasts and the cartilage is slowly replaced by bone.
3. Blood vessels invade the deteriorating calcified cartilage, osteoblasts form an osteoid laying down true bone and osteoclasts create a marrow cavity.
4. This process continues during the first 16-18 years of life where long bone elongation results in most of the height gain observed in children.
5. Around age 12 and continuing through age 18, the zone of chondrocyte proliferation disappears in each of the long bones, the cartilaginous epiphyseal plate disappears and elongation stops. The hands and feet are the last to stop growing.