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A 64-Year-Old Man Is Brought to the Emergency Department After

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A 64-year-old man is brought to the emergency department after a high-speed motor vehicle collision.  The patient was a restrained passenger in a truck involved in a head-on collision with another vehicle.  On examination, he is alert and oriented with severe pain and deformity of the right lower extremity.  The patient is lying on his left side with a shortened and internally rotated right leg.  The right hip is flexed and adducted, the right knee is flexed, and he is unable to dorsiflex or to straighten the right leg, even with assistance.  Which of the following is the most likely diagnosis?


Definitions:

Metaparadigm

A fundamental set of concepts and propositions that defines a discipline's overarching framework or viewpoint.

Syntactical

Related to syntax, which is the set of rules, principles, and processes that govern the structure of sentences in a given language or system.

Unique Focus

Unique Focus signifies a special or specific concentration on a distinct aspect or area within a broader field of study or practice.

Discipline

A field of study or branch of knowledge; also, the practice of training people to obey rules or a code of behavior.

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