Osteogenesis By,M. Thiru murugan Growth and Ossification of bones: Ossification, or osteogenesis, is the process of bone formation. Parts of the skeleton form during the first few weeks after conception. By the end of the 8th week after conception, the skeletal pattern is formed in cartilage and membranes and ossification begins. Bone development continues throughout adulthood. Even after adult, bone development continues for repair of fractures and for remodeling to meet changing lifestyles. Osteoblasts, osteocytes & osteoclasts are the 3 cells types involved in the development, growth & remodeling of bones. Stages of bone growth: Initial Bone Formation: The formation of bone during the fetal stage of development occurs by 2 processes: Intramembranous ossification & endochondral ossification. Intramembranous ossification is the process of bone development from fibrous membranes. It is involved in the formation of the flat bones of the skull, the mandible, and the clavicles. The steps in Intramembranous ossification are: Development of ossification center Calcification Formation of trabeculae Development of periosteum 3. Endochondral ossification It is the process of bone development from hyaline cartilage. All of the bones of the body (except for the flat bones) are formed through endochondral ossification Endochondral ossification begins with points in the cartilage called “primary ossification centers.” They mostly appear during fetal development, though a few short bones begin their primary ossification after birth. These cartilage points are responsible for the formation of the diaphyses of long bones, short bones, and certain parts of irregular bones. Secondary ossification occurs after birth and forms the epiphyses of long bones and the extremities of irregular and flat bones. The diaphysis and both epiphyses of a long bone are separated by a growing zone of cartilage (the epiphyseal plate). When the child reaches skeletal maturity (18 to 25 years of age), all cartilage is replaced by bone, fusing the diaphysis and both epiphyses together (epiphyseal closure). 4. Remodeling: Even after skeletal maturity has been attained, bone is constantly being resorbed and replaced with new bone in a process called bone remodeling, it occurs throughout a person’s life long beyond the initial development of bone. Bone remodeling is carried out through the work of osteoclasts, which are bone cells that resorb bone and dissolve its minerals. Osteoblasts and osteoclasts are referred to as a bone remodeling unit. The purpose of remodeling is to regulate calcium homeostasis & repair micro-damage from everyday stress, as well as to shape the skeleton during growth. Bone repair: Bone repair (or healing) is the process in which a bone repairs itself following a bone fracture Minerals involved in ossification include: calcium, vitamin D, potassium, phosphorus, magnesium, iron, sodium & chlorine