A 19-year-old collegiate female acrobatics and tumbling athlete presented with deep shooting pain in her right thigh during impact activities. Diagnostic imaging revealed a 12-mm enchondroma in her right proximal femoral metadiaphysis. After 10 days of rest, the patient began gradually increasing the intensity of impact skills and completed the remainder of the acrobatics and tumbling season. This is the first reported case of an enchondroma in the proximal femoral metadiaphysis in a young athlete. Athletic trainers must use clinical reasoning skills and interprofessional collaboration when managing atypical presentations to improve patient care and promote a positive recovery after injury.