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The 23-time Grand Slam champion was serving in the fifth game at Centre Court when she lost her footing near the baseline while hitting a forehand against Aliaksandra Sasnovich.
Williams winced and stepped gingerly between points, clearly troubled. After dropping that game, she took a medical timeout and tried to continue playing. A crying Williams bit her upper lip and covered her face between points. The crowd tried to offer support and encouragement.
But eventually, the 39-year-old American dropped to her knees, and the chair umpire came over to check on her.
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Williams raised her racket with right arm and put her left palm on her chest. Then she waved to the spectators.
Officially, it will go in the books as only the second first-round Grand Slam exit of Williams’ career.
She is a seven-time singles champion at the All England Club, including most recently in 2016. Williams also was the runner-up at Wimbledon each of the last two times it was contested, in 2018 and 2019, before the tournament was cancelled last year because of the coronavirus pandemic.