Osteoblasts
from the periosteum add new bone tissue around the outer surface of the bone.
At the same time, the bone lining the medullary cavity is destroyed by
osteoclasts. The combination of new cell growth and erosion of old cells widens
the bone without thickening its walls. Bones can also thicken in response to
physical changes in the body that may increase the stress or load the bones
must support.
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