This case study is an account of the injuries sustained by a triathlete who crashed his bike at 44 mph during the 2017 Lake Placid Ironman triathlon. The case is designed for use as a final project in an undergraduate anatomy and physiology course, with an emphasis on injury and repair. Skeletal, respiratory, cardiovascular, neurological, integumentary, and urinary systems are examined. X-rays and CT scans are included both for illustration purposes and for authenticity. The case is entirely factual, based on the recollections of the subject, John (Butch) Luke, and his family members. While coverage is at a fairly superficial level for any one of the six organ systems covered, the case can easily be expanded to include more detailed analysis. Both anatomical information and functional physiology are addressed. The case is recommended for use at the end of a (preferably) two-semester anatomy and physiology course designed for biomedical students and those in health related fields. It could also be expanded for an upper-level physiology or pathophysiology course.