I wish your mind weren't so fertile. You make me work too hard. As you know, IGF-1 is what is thought to be what is responsible for the muscle hypertrophy and or hyperplasia, if the latter occurs. So GH is only indirectly responsible in that it elevates IGF-1.
During development it has been shown that IGF-1 administration leads to skeletal muscle hyperplasia, i.e. new muscle cell (fiber) development. In development, new fibers arise from muscle precursor cells, called myoblasts. What IGF-1 is thought to do is induce proliferation (i.e. cell division) of these myoblasts, increasing their number. The myoblasts then fuse together into fully developed muscle fibers. Some of the myoblasts are not directly incorporated into the fiber, but remain adjacent to it. These unincorporated myoblasts are the satellite cells.
These satellite cells can do three things. They can just sit there, the normal state of affairs. Or they can fuse with the preexisting fully developed fiber, donating their nuclei to it (hypertrophy). The third possibility is that the satellite cells themselves can fuse together to form a new fiber (hyperplasia).
Like during development with myoblasts, in an adult, IGF-1 is thought to induce proliferation of these satellite cells, making more of them available to either form new fibers or fuse with existing fibers. Myostatin, which we've been hearing about so much, has the opposite job. It puts the brakes on satellite cell proliferation.
So IGF-1 doesn't actually cause new fiber growth. Instead it induces proliferation of the satellite cells that will eventually fuse and turn on the genes required to function as fully developed muscle.
Eccentric loading seems to be what causes hyperplasia in animal models where it has been detected.
I think it is safe to say that from reviewing the scientific literature if hyperplasia occurs as a result of GH or training in adult humans it makes only a minor contribution to muscle growth. Just speculating, maybe myostatin limits the rate of satellite cell proliferation to the point there aren't enough of them to fuse to form fibers, but there are an adequate number to fuse to preexisting muscle cells and contribute to hypertrophy.
There is no scientific evidence that GH improves athletic ability (strength or exercise capacity) in trained individuals, but there are so few randomized, double blind, placebo controlled studies (exactly 1 to my knowledge) it is impossible to draw a conclusion.
It does reduce fat and increase lean body mass in some studies, in others not. The bulk of the evidence shows no increase in LBM in trained athletes given GH. In obese people it works well in reducing fat and preserving or increasing LBM.
Overall there is little scientific justification for GH use. On the other hand there is plenty of anecdotal evidence that it works great. I don't know where the disconnect is. If you polled everyone here who has used GH they would probably to a person say it worked.