Lateral knee injury is common among adolescent athletes in both contact and non-contact sports. Injuries in this population deserve special consideration regarding diagnosis and treatment due to the presence of open, closing, or recently closed physes. We describe two cases of isolated proximal fibula fractures with knee pain and laxity to varus stress in young athletes. Isolated proximal fibula fractures can mimic lateral collateral ligament injuries in the knee. Treatment for these injuries is conservative with bracing, protected weight bearing, and delayed or protected return to activity.

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