Endochondral & Intramembranous Types of Growth,

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    ENDOCHONDRAL & INTRAMEMBRANOUS

    TYPES OF GROWTH,

    SYNCHONDROSIS,

    DIFFERENCE BETWEEN GROWTHSITE &

    GROWTH CENTER

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    ENDOCHONDRAL OSSIFICATIONThe formation of bone in which a

    cartilage template is graduallyreplaced by a bone matrix, as

    in the formation of long bones

    Endochondral bone formation

    involves production of bone

    in areas where there are high

    levels of compression. Thus it

    is seen in the cranial base

    and in movable joints.

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    STAGES OF ENDOCHONDRAL OSSIFICATION

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    During endochondral

    bone formation, the

    first step is thedifferentiation of

    mesenchymal cells

    into chondrocytes

    These chondrocytesform a rough model

    which is enclosed by

    perichondral cells

    Cartilage mass grows

    both by interstitial

    growth and by

    apposition

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    Cartilage cells hypertrophy and their matrix begins to get calcified

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    During this time, blood

    vessels penetrate

    the cartilage mass

    from the

    perichondrium

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    These penetrating blood

    vessels carry un

    differentiated

    mesenchymal cells

    along with them,

    which get converted

    into osteoblasts

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    Osteoblasts subsequently deposit bone

    and bone spicules are formed

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    Gradually the cartilage mass

    is replaced by bone

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    IMPORTANCE OF ENDOCHONDRAL

    OSSIFICATION

    Cartilage behaves like a soft tissue and

    growth takes place both by interstitial

    growth and appositional growth. In bone,

    interstitial growth is not possible

    Cartilage unlike bone is a pressure adapted

    tissue and can grow in heavy pressureareas, e.g. cranial base.

    Direction of growth is not unidirectional like

    bone. Linear growth takes place allowing

    lengthening of bone.

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    INTRAMEMBRANOUS OSSIFICATION

    the development of bone within connective tissue,without any intermediate formation of cartilage, is

    known as Intramembranous ossification.

    Membranous ossification or bone formation occurs on theouter surface of bone (periosteum), inner surface

    (endosteum),sutures, etc.

    All bones formed this way are flat

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    STAGES OF INTRAMEMBRANOUS BONE

    FORMATION

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    IMPORTANCE OF MEMBRANOUS

    OSSIFICATION

    Membranous ossification or growth is seen in

    areas of tension

    Growth takes place outward or externally

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    SYNCHONDROSISA form of articulation in which the

    bones are rigidly fused by

    cartilage.

    Synchondroses are the remains of

    the primary cartilaginous skeleton .

    They are predominantly seen in thecranial base

    growth sites in the base of skull.

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    EXAMPLES OF SYNCHONDROSIS JOINT

    sternocostal joint

    (where the first ribmeets the sternum)

    temporary form of joint

    called epiphyseal

    growth plate, where

    the cartilage is

    converted into bone

    before adult life.

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    TYPES OF SYNCHONDROSIS

    Synchon droses Age of fusion

    Intersphenoidal synchondroses At birth

    Spheno-occipital

    synchondroses

    20 years

    Spheno-ethmoidal

    synchondroses

    Exactly not known

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    Grow th Site Grow th centre/growth f ield

    Is any location or place where growth

    takes place

    Is any location or place where

    genetically controlled growth takes

    place

    Is a region of periosteal or sutural bone

    formation and remodeling resorptionadaptive to environment

    Are places of ossification with tissue

    separating force

    Sites of growth when transplanted to

    another area do not continue to grow

    Centres of growth when transplanted

    to another area continues to grow

    Marked response to external

    influences

    Less response to external influence

    .More response to functional needs

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    Grow th si te Grow th centre / grow th

    field

    All growth sites are not growth centres All growth centres are growth sites

    Theories of growth are not based ongrowth site

    Various theories of growth are basedon the place where growth centre is

    expressed

    Growth site do not control the overall

    growth of the bone

    Growth centre controls the overall

    growth of the bone

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