Endochondral ossification

Endochondral ossification is one of the two essential pathways by which bone tissue is produced during fetal development of the mammalian skeletal system, the other pathway being intramembranous ossification. Both endochondral and intramembranous processes initiate from a precursor mesenchymal tissue, but their transformations into bone are different. In intramembranous ossification, mesenchymal tissue is directly converted into bone. On the other hand, endochondral ossification starts with mesenchymal tissue turning into an intermediate cartilage stage, which is eventually substituted by bone.

Endochondral ossification is responsible for development of most bones including long and short bones, the bones of the axial (ribs and vertebrae) and the appendicular skeleton (e.g. upper and lower limbs), the bones of the skull base (including the ethmoid and sphenoid bones) and the medial end of the clavicle. In addition, endochondral ossification is not exclusively confined to embryonic development; it also plays a crucial role in the healing of fractures.