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About the time of birth in mammals, a secondary ossification center appears in each end (epiphysis) of long bones. Periosteal buds carry mesenchyme and blood vessels in and the process is similar to that occurring in a primary ossification center.
Figure 16: Normal ossification center at the inferior pole of the patella (arrows) on a (16a) lateral radiograph and a (16b) T1- weighted sagittal image. Note also normal irregular ossification at the anterior surface of the patella (arrowhead), seen best on plain film.