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Fig. 4C —11-year-6 month-old girl who plays competitive tennis. Standing frontal radiograph of both knees obtained 2 years after A, during which time child continued to play tennis intensely. There is relative varus alignment of both knees. Her physes have begun to fuse. She also developed bilateral tibial stress fractures and osteochondritis dissecans of both talar domes, not included on this image.