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A 52-year-old man comes to the emergency department with excruciating pain in the posterior aspect of his right forearm. For the past several days he has been rehearsing with the symphony orchestra as a conductor. Physical examination shows excruciating pain upon palpation 2 cm distal and posteromedial to the lateral epicondyle. Intramuscular steroids are administered. Which of the following is the most likely mechanism of injury?
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