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10\left(\frac{x}{2}+2\right)\left(x-1\right)+16=5x^{2}+2\left(4x+1\right)-3\left(x-1\right)-4
Multiply both sides of the equation by 10, the least common multiple of 2,5,10.
\left(10\times \frac{x}{2}+20\right)\left(x-1\right)+16=5x^{2}+2\left(4x+1\right)-3\left(x-1\right)-4
Use the distributive property to multiply 10 by \frac{x}{2}+2.
\left(5x+20\right)\left(x-1\right)+16=5x^{2}+2\left(4x+1\right)-3\left(x-1\right)-4
Cancel out 2, the greatest common factor in 10 and 2.
5x^{2}+15x-20+16=5x^{2}+2\left(4x+1\right)-3\left(x-1\right)-4
Use the distributive property to multiply 5x+20 by x-1 and combine like terms.
5x^{2}+15x-4=5x^{2}+2\left(4x+1\right)-3\left(x-1\right)-4
Add -20 and 16 to get -4.
5x^{2}+15x-4=5x^{2}+8x+2-3\left(x-1\right)-4
Use the distributive property to multiply 2 by 4x+1.
5x^{2}+15x-4=5x^{2}+8x+2-3x+3-4
Use the distributive property to multiply -3 by x-1.
5x^{2}+15x-4=5x^{2}+5x+2+3-4
Combine 8x and -3x to get 5x.
5x^{2}+15x-4=5x^{2}+5x+5-4
Add 2 and 3 to get 5.
5x^{2}+15x-4=5x^{2}+5x+1
Subtract 4 from 5 to get 1.
5x^{2}+15x-4-5x^{2}=5x+1
Subtract 5x^{2} from both sides.
15x-4=5x+1
Combine 5x^{2} and -5x^{2} to get 0.
15x-4-5x=1
Subtract 5x from both sides.
10x-4=1
Combine 15x and -5x to get 10x.
10x=1+4
Add 4 to both sides.
10x=5
Add 1 and 4 to get 5.
x=\frac{5}{10}
Divide both sides by 10.
x=\frac{1}{2}
Reduce the fraction \frac{5}{10} to lowest terms by extracting and canceling out 5.