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6; = .025). Early recurrence (ie, ≤2 months of the index injury) was associated with older age (AHR, 1.3; = .001) and a history of ankle injury (AHR, 3.9; = .032). Older age (AHR, 1.1; = .013) and a history of CMSI (AHR, 6.7; = .002) increased the risk of recurrence within 2 seasons. The index injury MRI findings were not associated with risk of recurrence. A running-related mechanism of injury and the presence of AD on MRI were associated with a longer RTP period. Clinical rather than MRI data best indicate the risk of recurrent CMSI. A