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35-year-old healthy male injured his left knee while snowboarding in Japan, resulting in DVT in left gastric knee Mias vein. Required IVC filter placement before surgery. Mild effusion in left knee with active range of motion 0-90 degrees. Positive anterior and posterior drawer test, 2b Lachman, laxity to valgus stress. Operative radiographs showed avulsion fractures of medial and lateral tibial eminences. MRI revealed injuries to ACL, PCL, MCL, and medial meniscus. Planned surgery.