With the increase in sports participation, more young athletes are presenting for diagnosis and treatment of musculoskeletal injuries especially around the knee. Fractures and dislocations are different from those in adults due to the presence of the growth plate. Ligamentous injuries include ACL, PCL & collateral ligament injuries. Meniscal injuries in patients younger than 9 years of age is quite rare in morphologically normal menisci. Increasing numbers of chronic overuse injuries in young athletes may be related to limited recovery time from longer competitive seasons and year-round training.