Paul decided to go on the ski trip, even though he had a broken leg . Even though he had a broken leg , Paul decided to go on the ski trip. Both of these are correct.
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Anonymous Paula decided to go on the ski trip, even though she had a broken leg.The comma is not necessary. It was probably added, as commas sometimes are, just to indicate that the second clause (a dependent clause, by the way) was added as a sort of after-thought after a pause in speaking.