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The epiphyseal plate (or epiphysial plate, physis, or growth plate) is a hyaline cartilage plate in the metaphysis at each end of a long bone. The plate is found in children and adolescents; in adults, who have stopped growing, the plate is replaced by an epiphyseal line.
Endochondral ossification is responsible for the initial bone development from cartilage in utero and infants and the longitudinal growth of long bones in the epiphyseal plate. The plate's chondrocytes are under constant division by mitosis. These daughter cells stack facing the epiphysis while the older cells are pushed towards the diaphysis. As the older chondrocytes degenerate, osteoblasts ossify the remains to form new bone. In puberty increasing levels of estrogen, in both females and males, leads to increased apoptosis of chondrocytes in the epiphyseal plate. Depletion of chondrocytes due to apoptosis leads to less ossification and growth slows down and later stops when the entire cartilage have become replaced by bone, leaving only a thin epiphyseal scar which later disappears. Once the adult stage is reached, the only way to manipulate height is modifying bone length via distraction osteogenesis.
The growth plate has a very specific morphology in having a zonal arrangement.
|Epiphyseal plate zone (from epiphysis to diaphysis||Description|
|Zone of reserve||Quiescent chondrocytes are found at the epiphyseal end|
|Zone of proliferation||Chondrocytes undergo rapid mitosis under influence of growth hormone|
|Zone of maturation and hypertrophy||Chondrocytes stop mitosis, and begin to hypertrophy by accumulating glycogen, lipids, and alkaline phosphatase|
|Zone of calcification||Chondrocytes undergo apoptosis. Cartilagenous matrix begins to calcify.|
|Zone of ossification||Osteoclasts and osteoblasts from the diaphyseal side break down the calcified cartilage and replace with mineralized bone tissue.|
A mnemonic for remembering the names of the epiphyseal plate growth zones is " Real People Have Career Options," standing for: Resting zone, Proliferative zone, Hypertrophic cartilage zone, Calcified cartilage zone, Ossification zone. The growth plate is clinically relevant in that it is often the primary site for infection, metastasis, fractures and the effects of endocrine bone disorders.
Defects in the development and continued division of epiphyseal plates can lead to growth disorders. The most common defect is achondroplasia, where there is a defect in cartilage formation. Achondroplasia is the most common cause of dwarfism.
Salter–Harris fractures are fractures involving epiphyseal plates and hence tend to interfere with growth and height.
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