There are two processes of bone formation: intramembranous ossification and endochondral ossification. Intramembranous ossification occurs directly in mesenchymal tissue through osteoblast secretion and mineralization of bone matrix in flat bones and thickened portions of long bones. Endochondral ossification involves the development of long bones from a cartilage mold during embryogenesis, with primary ossification centers forming in the diaphysis and secondary centers later forming in the epiphyses, separated by the growth plate where chondrocytes proliferate and mature. Bone development is controlled systemically by hormones like growth hormone and thyroid hormone as well as locally by factors such as Indian hedgehog, PTHrP