A 36 year old female sustained numerous fractures to all the upper and lower limbs involving the left humerus, the left proximal radius and ulna at the elbow, the right midshaft radius and the left tibula and fibula. Finally, she sustained an injury to the right knee with rupture of the anterior cruciate ligament and the medial ligament as well as fractures to the midshaft of the left foot and the metatarsal bones.