I am about 5'8 and i have some pretty thick legs and i ordered the youth size accidently, but turns out that the youth size is pretty big. You would have to be a big person in my opinion to need the adult sizes.
Fox Racing 2013 Youth Titan Sport Knee Guards [obs]
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Being an adult, small frame (5 ft 2 in) also a female. I tried regular knee guards they were way to big, didn't fit at all. The youth fits very well, are comfortable almost don't know I have them on. Very pleased.