Multiplication of cartilage cells within a germinal layer leads to thickening of the growth cartilage towards the metaphysis. ... Cartilage fissuring and the resulting cartilage breakdown products released into the synovial fluid contribute to inflammation ... the cartilage flap is cut free and all the abnormal cartilage around the lesion is trimmed with a curette to create vertical ... The epiphyseal cartilage is avascular, so that it only receives its nutrition via osmosis from the synovial fluid. In cases of ...

Physeal fractures usually occur through the zone of hypertrophying cartilage, because this zone is characterized by large, ... Type 1 traverse the physeal plate through the zone of hypertrophying cartilage; Type 2 involves the physis and continues ... and Type 5 a compression injury to the zone of resting cartilage of the physis. ...