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A 35-year-old male with a left knee injury sustained while snowboarding in Japan developed a DVT in his left gastrocnemius vein, requiring an IVC filter. Physical exam showed a mild effusion in the left knee with no erythema or ecchymosis. Range of motion was from 0 to 90 degrees with positive drawer tests and laxity to valgus stress. Radiographs revealed avulsion fractures of medial and lateral tibial eminences, consistent with cruciate ligament injury. MRI confirmed injuries to the ACL, PCL, MCL, and medial meniscus. Surgery was planned.