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A 35-year-old male presented with a left knee injury after snowboarding in Japan, leading to a DVT in his left popliteal vein. On examination, he had a mild effusion, active range of motion, positive drawer tests, Lachman test, and valgus stress laxity. Operative X-rays showed avulsion fractures of the tibial eminences, indicative of cruciate ligament injury. MRI confirmed injuries to the ACL, PCL, MCL, and medial meniscus, leading to a comprehensive treatment plan.