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Surgeons should maintain a high index of suspicion for atypical patterns in immunosuppressed individuals despite seemingly benign mechanisms of injury. We describe an adolescent male with concomitant ipsilateral isolated trochlear and triquetral avulsion fractures discovered after a ground-level fall while on chronic immunosuppressive therapy.<\/jats:p>","DOI":"10.1136\/bcr-2025-268846","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:35:14Z","timestamp":1783942514000},"page":"e268846","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Isolated trochlea and triquetrum fractures in an immunocompromised adolescent after a ground-level fall"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1486-178X","authenticated-orcid":false,"given":"Daniel","family":"Lynch","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, UCF, Ocala, Florida, 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