Arnesen v. Brown

8 Vet. App. 432, 1995 U.S. Vet. App. LEXIS 923, 1995 WL 717190
CourtUnited States Court of Appeals for Veterans Claims
DecidedDecember 7, 1995
DocketNo. 94-189
StatusPublished
Cited by10 cases

This text of 8 Vet. App. 432 (Arnesen v. Brown) is published on Counsel Stack Legal Research, covering United States Court of Appeals for Veterans Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arnesen v. Brown, 8 Vet. App. 432, 1995 U.S. Vet. App. LEXIS 923, 1995 WL 717190 (Cal. 1995).

Opinion

STEINBERG, Judge:

The appellant, Vietnam-era veteran Tore Arnesen, appeals pro se from a September 30, 1993, decision of the Boárd of Veterans’ Appeals (Board or BVA) denying an increased evaluation for postoperative residuals of chondromalacia with traumatic arthritis currently rated as 10% disabling for the right knee and 10% disabling for the left knee, with a combined rating of 20%. Record (R.) at 13. (“Chondromalacia” is softening of the cartilage in the knee, Dorland’s ILLUSTRATED MEDICAL DICTIONARY 326, 1241 (27th ed. 1988).) Both parties have filed briefs. For the reasons that follow, the Court will vacate the BVA decision and remand the matter to the Board for further development and readjudication consistent with this opinion.

I. Background

The veteran served on active duty in the U.S. Army from July 1968 to March 1970. R. at 20. An August 1967 induction medical examination repor't indicated “normal” for “lower extremities”. R. at 22. A February 1969 service medical record (SMR) noted that the veteran had “twisted [his right] knee 3 days ago playing basketball” and physical examination revealed a “swollen” knee with “tenderness along [the] medial border”. R. at 30. An orthopedic consultation report listed an impression of “[s]train[,] medial collateral ligament” of the right knee. R. at 31. A March 1969 SMR noted “persistent effusion, ... medial joint line tenderness, no instability.” R. at 32. The veteran was treated with a “cylinder” cast and physical therapy exercises. R. at 36. In April 1969, a physical profile report assigned the veteran to light duty due to arthritis in the right knee and chondromalacia of the right patella. R. at 42. The veteran continued physical therapy in May and June 1969. R. at 46. He was apparently hospitalized for his knee problem at one point, and then sent to Vietnam. See R. at 20, 32, 113. In his March 1970 separation medical examination report, the space for “normal” or “abnormal” for “lower extremities” was left blank, but a physical profile of “3” was noted. R. at 58-59. An Army “Special Order[]” stated that he was “relieved from active duty not by reason of physical disability and transferred to the [U.S.] Army Reserve”. R. at 64.

In March 1970, the veteran filed with a Veterans’ Administration (now Department of Veterans Affairs) (VA) regional office (RO), an application for compensation or pension for service connection for a right-knee condition. See R. at 94. An April 1970 VARO decision granted service connection for “chondromalacia right knee”, rated at 10% disabling. Ibid. The veteran filed a May 1970 claim for service connection for a left-knee condition. R. at 96. The RO denied that claim in June 1970, stating that the veteran had submitted “no evidence of a left-knee disability”. R. at 98. Neither RO decision was appealed and both became final.

A June 1971 VA orthopedic consultation report listed a diagnosis of “[rjesiduals of previous injury to his knee, possible chondro-malacia” (R. at 108), and a contemporaneous x-ray report indicated “a suggestion of some reactive response in the intercondylar spine of the tibia on the right side” and possible “patellar tendon swelling on the left” (R. at 111). In March 1975, a VA medical examination report showed a diagnosis of “[r]esiduals of right knee injury, chondromalacia by history” (R. at 118), and a contemporaneous x-[435]*435ray report noted “mild degenerative changes of both knee joints” (R. at 120). A May 1977 VA orthopedic consultation report noted an impression of “[m]ild chondromalacia of the patellae bilaterally, the right being greater than the left” and “[m]ild generalized degenerative arthritis of the right knee”. R. at 122.

An arthroscopic surgical procedure on the veteran’s left knee in January 1982 revealed a medial meniscus tear and chondromalacia of the patella. R. at 129. A June 1982 RO decision denied service connection for his left-knee condition and continued the 10% rating for his right-knee disability. R. at 132. The veteran appealed to the BVA. See R. at 135. In a September 1982 healing at the RO, he testified under oath that during service his right knee would lock and swell and the left knee, although it did not lock, would “constantly ache[]”. R. at 141-42. He also testified that his May 1970 claim for service connection was evidence of a left-knee condition within a one-year presumption period, and that his current condition of chondromalacia of the patella of the left knee was the same as the condition he had suffered in service. R. at 143.

A July 1983 BVA decision denied service connection for a left-knee disorder, including arthritis, stating that SMRs were negative for left-knee complaints or treatment, and that merely filing a compensation application within one year after service did not demonstrate manifestation of arthritis to 10% in the left knee. R. at 178-80. The Board noted that the first medical evidence of arthritis in the left knee was in 1975. R. at 179. The veteran asked the RO to locate a letter from a private physician, Dr. Bender, that he had submitted to “Selective Service in Boston, Massachusetts” before his induction into the Army. R. at 168; see also R. at 182. A February 1984 letter from the BVA Chairman informed the veteran that no preinduction letter from a private physician was in his file. R. at 192. In September 1984, the veteran informed the BVA that he did not have the original or a photocopy of the prein-duetion letter from Dr. Bender, but he provided a copy which he stated had been handwritten by his mother. R. at 205. This copy stated that in December 1965 the veteran had had a biopsy of the right humerus with a diagnosis of “myositis ossificans” and thereafter had been treated for that condition until April 1968 and he had also been “treated for multiple sprains of ankles and knees and ha[d] most recently been treated for what appears to be either synovitis or early rheumatoid arthritis of his knee”. R. at 92. The veteran also submitted a June 1984 letter from Dr. Bender, which stated that he did “not have any records that go back to the time that you were a patient of mine”, but that “[t]o the best of my memory, I did treat you for knee difficulties.... [and] you did have chondromalacia; and I did advise you that this was likely to gradually progress and would probably limit you with regard to squatting, kneeling, and climbing, on a gradually increasing basis.” R. at 201. In October 1985, a BVA reconsideration decision affirmed the July 1983 Board decision. R. at 221.

The veteran attempted to reopen his claim for a left-knee disability in February 1986. R. at 228. A May 1986 RO decision denied reopening. R. at 230. The veteran testified under oath at a September 1986 RO hearing that his bilateral knee condition had existed prior to service and had been exacerbated during service by basic training, playing basketball, and walking through mud in Vietnam while carrying a back pack. R. at 245, 254. He also testified that if complete in-service hospital records were obtained they would show complaints of left-knee pain. R. at 246. He submitted a March 1987 letter from a private physician stating that the veteran had bilateral “patello-femoral arthritis” and “early degenerative arthritic changes”, and concluding that he “does have pre-existing injuries from college and the time period when he was in the service.” R. at 283.

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Cite This Page — Counsel Stack

Bluebook (online)
8 Vet. App. 432, 1995 U.S. Vet. App. LEXIS 923, 1995 WL 717190, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arnesen-v-brown-cavc-1995.