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A 35-year-old male sustained a left knee injury snowboarding in Japan a week prior. He developed a DVT in his left gastric knee Mias vein, requiring IVC filter placement before surgery. The left knee had a mild effusion with no erythema or ecchymosis, and active range of motion, but positive drawer tests and laxity to valgus stress. Operative radiographs revealed avulsion fractures of both tibial eminences, indicating cruciate ligament injury. MRI showed injuries to the ACL, PCL, MCL, and medial meniscus. Surgery is planned.