Abstract: Gymnast wrist or distal radial physeal injury is a common entity among gymnasts of all levels. It can lead to chronic pain, inability to perform, and growth issues at the wrist for these young athletes. However, less has been reported about other overuse stress injuries in this group. We present the case of a prepubescent female gymnast complaining of chronic bilateral knee pain. She was found to have bilateral distal femoral physeal stress injuries and had a similar clinical course to any gymnast diagnosed with the same injury at the wrist.