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A 35-year-old otherwise healthy male presented with a left knee injury sustained while snowboarding in Japan, leading to a DVT in his left popliteal vein. He underwent IVC filter placement before surgery, with exam findings revealing a mild effusion in his left knee, active range of motion from 0-90 degrees, and positive anterior and posterior drawer tests. Operative radiographs showed avulsion fractures of the medial and lateral tibial eminences, consistent with cruciate ligament injury. MRI imaging confirmed injuries to the ACL, PCL, MCL, and medial meniscus. Treatment plan was developed accordingly.