Hormones from the apex (tip) of poison-oak stems
circulate just under the bark all the way to the roots
of the plant. Buds for side branches are formed at
regular intervals along the sides of the stems, but
remain dormant. However if the tip of a branch dies, the
highest surviving bud, and often also the top bud of the
previous years growth, take over.
The
bud at each node is set to begin growing at a 69 degree
angle to the stem. When the dead tissue has been shed,
that leaves a funny crook in the stem, called an
elbow: