W
Walahu
Iron
- Joined
- Mar 8, 2025
- Posts
- 22
- Reputation
- 10
Simple Visual Map
Impact → Tissue Strain → Capillary Rupture → Subperiosteal Hematoma
↓
Inflammation → Cytokine Release
↓
Periosteal Cell Activation → Osteoblast Differentiation
↓
Collagen Deposition → Woven Bone Formation
↓
Osteoclast Remodeling → Lamellar Bone
↓
Adaptive Remodeling (if mechanical stress persists)
Explanation
Immediate event: Mechanical force applied to bone.
-Tissues involved:
Periosteum – thin, highly vascularized membrane around the bone; contains osteogenic cells.
Bone matrix – dense tissue made of collagen and hydroxyapatite.
Surrounding soft tissue – skin, subcutaneous fat, muscles.
Observation: If the force is mild (like light pressure), no bleeding; if moderate, tiny capillaries rupture; if severe, bone can fracture.
Blood pools under periosteum.
Inflammatory cells (neutrophils, macrophages) migrate to site.
Cytokines released: IL-6, TNF-α, VEGF.
Purpose:
Remove debris and damaged tissue.
Trigger periosteal cells to start differentiating into osteoblasts.
Hematoma acts as biological scaffold:
Platelets release growth factors (PDGF, TGF-β).
Fibroblasts deposit temporary collagen matrix.
Capillary ingrowth (angiogenesis) supports nutrient delivery.
Result: A soft callus begins forming — the first step toward new bone.
Osteoblasts deposit collagen type I → mineralizes into woven bone (disorganized but functional).
Micro-fractures heal via Wolff’s Law: stress guides where bone is reinforced.
Key signals:
BMPs (bone morphogenetic proteins) → drive osteoblast differentiation.
VEGF → supports blood vessel growth.
IL-6 → recruits additional osteoprogenitor cells.
Observation: Bone starts “thickening” locally, but shape may not be perfectly symmetric.
Osteoclasts resorb disorganized woven bone.
Osteoblasts lay down structured lamellar bone.
Mechanical stress continues to shape the bone subtly.
Callus becomes more solid and functionally integrated with surrounding bone.
Outcome: Stronger bone in the area, sometimes slightly raised if periosteal lifting occurred.
If repeated low-intensity stress occurs (chewing, muscle tension, zygo pressing, bonesmashing)
Bone continues to respond via adaptive remodeling.
“Useful” bone growth is possible but small.
High-impact trauma risks: fibrosis, necrosis, permanent irregularities.
You need to let the tissue heal so my guess is to bonesmash however hard you can for however much time you can every 8-10 days with knuckles or even better a rubber mullet
Thoughts?
Impact → Tissue Strain → Capillary Rupture → Subperiosteal Hematoma
↓
Inflammation → Cytokine Release
↓
Periosteal Cell Activation → Osteoblast Differentiation
↓
Collagen Deposition → Woven Bone Formation
↓
Osteoclast Remodeling → Lamellar Bone
↓
Adaptive Remodeling (if mechanical stress persists)
Explanation
Immediate event: Mechanical force applied to bone.
-Tissues involved:
Periosteum – thin, highly vascularized membrane around the bone; contains osteogenic cells.
Bone matrix – dense tissue made of collagen and hydroxyapatite.
Surrounding soft tissue – skin, subcutaneous fat, muscles.
Observation: If the force is mild (like light pressure), no bleeding; if moderate, tiny capillaries rupture; if severe, bone can fracture.
First 0–24 Hours: Hematoma Formation & Inflammatory Response
If a subperiosteal hematoma forms:Blood pools under periosteum.
Inflammatory cells (neutrophils, macrophages) migrate to site.
Cytokines released: IL-6, TNF-α, VEGF.
Purpose:
Remove debris and damaged tissue.
Trigger periosteal cells to start differentiating into osteoblasts.
Days 1–7: Cellular Activation & Scaffold Formation
Osteogenic periosteal cells are activated:Hematoma acts as biological scaffold:
Platelets release growth factors (PDGF, TGF-β).
Fibroblasts deposit temporary collagen matrix.
Capillary ingrowth (angiogenesis) supports nutrient delivery.
Result: A soft callus begins forming — the first step toward new bone.
Weeks 1–4: Woven Bone Formation
Osteoblasts deposit collagen type I → mineralizes into woven bone (disorganized but functional).
Micro-fractures heal via Wolff’s Law: stress guides where bone is reinforced.
Key signals:
BMPs (bone morphogenetic proteins) → drive osteoblast differentiation.
VEGF → supports blood vessel growth.
IL-6 → recruits additional osteoprogenitor cells.
Observation: Bone starts “thickening” locally, but shape may not be perfectly symmetric.
Weeks 4–12: Remodeling to Lamellar Bone
Osteoclasts resorb disorganized woven bone.
Osteoblasts lay down structured lamellar bone.
Mechanical stress continues to shape the bone subtly.
Callus becomes more solid and functionally integrated with surrounding bone.
Outcome: Stronger bone in the area, sometimes slightly raised if periosteal lifting occurred.
Months 3+: Long-Term Adaptation
If repeated low-intensity stress occurs (chewing, muscle tension, zygo pressing, bonesmashing)
Bone continues to respond via adaptive remodeling.
“Useful” bone growth is possible but small.
High-impact trauma risks: fibrosis, necrosis, permanent irregularities.
You need to let the tissue heal so my guess is to bonesmash however hard you can for however much time you can every 8-10 days with knuckles or even better a rubber mullet
Thoughts?