Epiphysis
Also known as: end of long bone, epiphyses
The expanded end of a long bone, made of spongy bone with a thin compact shell and capped by articular cartilage. It ossifies from a secondary ossification centre separated from the shaft by the growth plate until maturity.
Overview
Each long bone has a proximal and a distal epiphysis (short bones of the hand have one). The epiphyses are broad to spread load over a large joint surface, and are filled with spongy bone containing red marrow, oriented to transmit forces from the articular surface to the shaft. Their articular surfaces are covered by hyaline articular cartilage, not periosteum.
Epiphyses ossify from secondary ossification centres, most of which appear after birth; growth in length occurs at the cartilaginous epiphyseal plate that separates epiphysis from metaphysis. Some bones also have apophyses — secondary centres that form non-articular bony prominences for tendon attachment (greater trochanter, tibial tuberosity, medial epicondyle), whose traction injuries cause apophysitis (Osgood–Schlatter, Sever).
The epiphyses of a long bone usually receive their own epiphyseal arteries; before plate fusion these are largely separate from the metaphyseal circulation, so damage can devascularise the epiphysis (e.g. slipped capital femoral epiphysis).
- Location
Proximal and distal ends of long bones.
Parts & subdivisions
- Hyaline cartilage covering the joint surface.
- Trabecular interior aligned to stress.
- Thin plate of dense bone marking the fused growth plate in adults.
Anatomy
- Arterial supply
Epiphyseal arteries entering through foramina near the joint capsule attachment.
- Ossification
Secondary ossification centres, mostly postnatal; the distal femoral centre is present at birth (≈36 weeks’ gestation).
Function
- Forms articular surfaces of joints
- Distributes joint loads into the shaft
- Contains red marrow
- Provides attachment for ligaments and joint capsules
Clinical significance
Slipped capital femoral epiphysis (SCFE)
Displacement of the femoral head epiphysis posteroinferiorly through the growth plate in obese adolescents (10–16 years); hip or knee pain and limp; risk of avascular necrosis.
Compiled from standard anatomy and physiology references — see the Skeletal System sources. For education only; not medical advice.