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. 2020 Jul 30;50(2):361–369. doi: 10.1007/s00256-020-03561-2

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — Distal femur ROIs to capture the Erlenmeyer flask deformity. Three ROIs were drawn for each femur: physis to 2 cm above the physis, 2 cm to 4 cm above the physis, and 4 cm to 6 cm above the physis. Note that each femur has a different degree of metaphyseal flaring. The left image is a femur rated “No EFD”, the center “Mild EFD”, and the right “Severe EFD”