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NBME 20 Answers
A 25-year-old man comes to the physician 8 hours ...
Rupture of an intervertebral disc
It is a very thick nerve, so I think it is hard to tear without physically cutting it. Also if it tore you would have tibial and common fibular nerve symptoms as well. You would see sensory numbness and tingling along the dermatome
also the mechanism of injury is focused on spine so a disc rupture is more likely
@charcot The patient is young and doesn't have any risk factors for weak bones. Also, disc herniation is a common problem in the young. The disc gets fibrosed and stiff in the elderly so they have less chance for disc herniation.
So basically age was the key to answering this question.