WATCH: Despite Near-Trip, ROC's Kamila Valieva Scores Big, Breaks Down in Tears

The 15-year-old Russian figure skater, who was cleared a day earlier to compete at the 2022 Winter Olympics despite failing a pre-Games drug test, overcame a near-trip after her opening triple axel and received the top score

Kamila Valieva, the Russian figure skater at the center of the latest Olympic doping controversy, barely held onto her opening triple axel, then survived the rest of her short program to take first place going into Thursday's free skate finals.

The 15-year-old nearly tripped on her first element, the difficult triple axel, but had no trouble with her triple flip and her triple lutz-triple toe loop, receiving Level 4 marks on the rest of her program to climb to the to of the leaderboard with 82.16 points.

She broke into tears as she skated off the ice. But they were not tears of joy.

Only a day earlier, Valieva was cleared to keep competing at the 2022 Winter Olympics despite testing positive for a banned drug at a pre-Games event.

Regardless of what happens at Thursday's free skate finals, there won't be a podium presentation or medal ceremony if Valieva finishes in the top three. That's because the International Olympic Committee, concerned that she could still be banned after a full doping case investigation, said it would instead “organize dignified medal ceremonies” at some future point. The organizing committee also did not explain where or how it might be held.

Her doping controversy has reshaped the women's competition. Traditionally, only the best 24 skaters advance to the free skate, according to the short program qualification rule. But 25 skaters are moving on to Thursday's final round, with an extra skater added to the roster so that if Valieva is later disqualified, enough athletes were able to have competed and gotten a fair shot at gold.

Valieva tested positive for the heart drug trimetazidine on Dec. 25 at the Russian nationals. It wasn't until after Valieva's dominant performance in the team event that helped the Russian Olympic Committee win gold, that the drug test results from a Swedish lab came to light.

That led to the postponment of the medal ceremony for the team event, in which the U.S. won silver and Japan took bronze.

The Russian anti-doping agency (RUSADA) immediately suspended her, then lifted the ban a day later. The IOC and others appealed, and an expedited hearing was held Sunday night.

Valieva's lawyer Denis Oswald said during the hearing that Valieva failed a doping test because of contamination from medication her grandfather was taking.

The Court of Arbitration for Sport ruled Monday that Valieva did not need to be provisionally suspended ahead of a full investigation by the Russian Anti-Doping Agency that could take months to resolve. The court cited Valieva's status as a minor, or "protected person," and the "serious issues of untimely notification" of her positive test as factors in the favorable ruling.

“The panel considered that preventing the athlete to compete at the Olympic Games would cause her irreparable harm in the circumstances,” CAS Director General Matthieu Reeb said.

NBC Sports reported that Russian figure skater Kamila Valieva tested positive for trimetazidine, a banned substance. What is trimetazidine and have athletes been caught using it before?

Valieva landed the first quadruple jump by a woman at the Olympics, a feat that helped catapult the ROC's score to win gold in the teams event. If Valieva and Russia end up getting disqualified after the doping probe, Team USA would be bumped up to gold, Japan would get silver and fourth-place finisher Canada could move up to bronze. For now, the Americans will leave Beijing unsure if they silver or gold.

“We are devastated that they will leave Beijing without their medals in hand, but we appreciate the intention of the IOC to ensure the right medals are awarded to the right individuals,” the U.S. Olympic and Paralympic Committee said in a statement.

Still, Valieva and her teammates are trying to extend an era of Russian dominance in women's figure skating at the Olympics. All three ROC skaters finished in the top four, with reining world champion Anna Shcherbakova taking second with 80.60 and Aleksandra Trusova finishing fourth with 74.60. Japan's Kaori Sakamoto placed third with 79.89 points.

The Russian women are all coached by Eteri Tutberidze, the former ice dancer-turned-kingmaker who has been criticized for pushing young skaters to extreme limits in the pursuit of Olympic medals. The investigation into Valieva's doping scandal will focus on Tutberidze and the rest of the entourage that has surrounded the young skater in the lead-up to the Olympics.

Team USA has three athletes competing in the free skate medal event on Thursday at 4 a.m. CST.

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