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Morel-Lavallée lesion of the proximal tibia in an obese patient after low-energy trauma. Morel-Lavallée lesions (MLL) are usually localised in the hip or gluteal region, but have rarely been reported at the proximal tibia. We present a case of an overweight patient, aged 59, with a MLLof the left proximal tibia after a low-energy fall in his backyard. MLL pathogenesis, history, radiographic imaging, applied treatment and relevant literature to this specific case and MLL in general are discussed. Initially the patient's MLL was managed conservatively until he presented with persisting pain and swelling. The lesion was subsequently treated by needle aspiration and stabilising knee brace.