Bone formation occurs through two main processes: endochondral ossification and intramembranous ossification. Endochondral ossification involves the formation of long bones from cartilage templates. It is a multi-step process where cartilage is replaced by bone. First, primary ossification centers form in the diaphyses as bone collars prevent nutrient diffusion into cartilage, causing cartilage cell death. Blood vessels then invade and deposit osteoblasts that form trabecular bone. Secondary ossification centers later develop in the epiphyses through the same process. The epiphyseal plate contains proliferating and hypertrophying cartilage cells that drive bone growth until skeletal maturity is reached.