A 17-year-old male professional motocross athlete with a history of left tibial spine avulsion fracture and resultant chronic knee flexion contracture presented to the emergency department (ED) status-post motocross injury with isolated left thigh pain. The patient had been wearing a hard-shell, hinged, knee brace measuring approximately 43 cm in length. He reported riding over a jump of approximately 10 feet when his left leg slipped off, pinning and hinging his leg over his knee brace. He was found to have a closed and neurovascularly intact transverse femoral shaft fracture without ecchymosis, skin changes, or open wounds. The deformity measured approximately 26 cm from the tibial tuberosity on clinical exam, and the fracture was 22 cm proximal to the center of the knee as measured on anterior-posterior (AP) radiograph (Figure 1). Per institutional protocol, thin-slice computed tomography (CT) was obtained to rule out femoral neck fracture, and this was negative for fracture. The patient was placed in Buck's traction and prepared for surgical intervention. Anterograde intramedullary nailing of the left femur with a femoral reconstruction nail was performed the next morning. The patient received routine perioperative antibiotic prophylaxis, unrestricted postoperative weightbearing, and one month of chemical deep vein thrombosis (DVT) prophylaxis. The patient had returned to full activity and competitive motocross at one-year follow-up.