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At 5 years post-baseline, quantitative magnetic resonance imaging (T2 relaxation times (ms) involved knee medial/lateral femoral condyle and tibial plateau) data were collected. Group differences were evaluated with independent samples t tests. At 5 years post-return to sports, the RTS-LQ strength group (n = 14) demonstrated elevated T2 relaxation times at the anterior region of the lateral femoral condyle compared to the RTS-HQ strength group (n = 13). Clinical Significance Just over 50% of this cohort was cleared for sports participat