Duxbury, E. v. Reconstructive Orthopedic Assoc.

CourtSuperior Court of Pennsylvania
DecidedJanuary 23, 2026
Docket2876 EDA 2024
StatusUnpublished
AuthorBeck

This text of Duxbury, E. v. Reconstructive Orthopedic Assoc. (Duxbury, E. v. Reconstructive Orthopedic Assoc.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Duxbury, E. v. Reconstructive Orthopedic Assoc., (Pa. Ct. App. 2026).

Opinion

J-A27034-25

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

ELIZABETH DUXBURY AND BRIAN : IN THE SUPERIOR COURT OF DUXBURY, W/H : PENNSYLVANIA : Appellant : : : v. : : : No. 2876 EDA 2024 RECONSTRUCTIVE ORTHOPEDIC : ASSOCIATES II, P.C. D/B/A THE : ROTHMAN INSTITUTE OF NEW : JERSEY, ATLANTICARE SURGERY : CARE, ALYSON AXELROD, D.O. :

Appeal from the Order Entered September 26, 2024 In the Court of Common Pleas of Philadelphia County Civil Division at No(s): 230601031

BEFORE: BOWES, J., MURRAY, J., and BECK, J.

MEMORANDUM BY BECK, J.: FILED JANUARY 23, 2026

Elizabeth Duxbury (“Elizabeth”) and Brian Duxbury (“Brian”)

(collectively, “the Duxburys”) appeal from the order entered by the

Philadelphia County Court of Common Pleas (“trial court”) granting the motion

to dismiss for forum non conveniens filed by Reconstructive Orthopedic

Associates II, P.C. (“ROA”) d/b/a The Rothman Institute of New Jersey

(“RINJ”)1 (collectively “Appellees”), Atlanticare Surgery Care (“ASC”), and

____________________________________________

1 On January 1, 2020, RINJ and Rothman Orthopaedics of New Jersey, LLC merged, and the surviving business was named Rothman Orthopaedics of New Jersey, LLC (“RONJ”). On that same date Reconstructive Orthopedic (Footnote Continued Next Page) J-A27034-25

Alyson Axelrod, D.O.,2 and directing that the action be refiled in New Jersey.

The Duxburys contend that the trial court erred in its application of existing

precedent regarding forum non conveniens and that a consideration of the

facts under a correct application of the law does not support transfer of the

action to New Jersey. After careful review, we reverse the trial court’s order

and remand for further proceedings in Philadelphia County.

Pertinent Facts and Procedural History

The record reflects that in their second amended complaint, 3 the

Duxburys alleged that Elizabeth suffered from lower back pain and dysfunction

and was a patient at Rothman Urgent Care in Marlton, New Jersey. Second

Amended Complaint, 10/3/2023, ¶¶ 31-32. While treating Elizabeth,

Rothman Urgent Care referred her to Dr. Axelrod for further treatment. Id.

¶¶ 33. Elizabeth saw Dr. Axelrod at the Egg Harbor, New Jersey location of

RINJ on June 7, 2021. Id. ¶ 34. At this appointment, Dr. Axelrod suggested

Associates II, P.C. converted to Reconstructive Orthopaedic Associates II, LLC. RONJ is a limited liability company under the laws of New Jersey, but has its principal place of business in Philadelphia. According to Appellees, RONJ and ROA have the same ownership and practice group, but ROA is a separate business entity from RONJ. Appellees’ Brief at 10-11.

2 ASC and Dr. Axelrod are not a part of this appeal. See The Duxburys’ Brief at 5 (“Dr. Axelrod has been dismissed as a defendant in this matter.”); Trial Court Opinion, 2/10/2025, at 1 (noting ASC was dismissed as a party by stipulation).

3 The Duxburys initiated the action by filing their original complaint on June 12, 2023.

-2- J-A27034-25

bilateral transforminal epidural injections by fluoroscopic guidance to treat the

lower back pain. Id. ¶¶ 35-37. Dr. Axelrod administered the epidural

injections into Elizabeth’s back on June 25, 2021, in Egg Harbor. Id. ¶¶ 37,

42. When Dr. Axelrod inserted the first needle into Elizabeth’s right side, she

felt a sensation like an electrical shock, and what felt like pins and needles in

her right leg. Id. ¶¶ 42, 49. The Duxburys contend that Dr. Axelrod failed to

use fluoroscopic guidance when administering the shot. Id. ¶ 46.

The following day, Elizabeth began experiencing headaches. Id. ¶¶ 50-

51. She called the emergency line at the office, after which she was prescribed

Fioracet for the headaches. Id. ¶¶ 53, 56-57. Elizabeth subsequently went

to the emergency room where they performed a blood patch. Id. ¶¶ 58, 60.

She then underwent treatment from multiple providers in the greater

Philadelphia area,4 ultimately coming under the care of Dr. Linda Grey at Duke

University Medical Center, who was a specialist cerebrospinal fluid leaks. Id.

¶¶ 63, 65. When Dr. Grey attempted to obtain copies of the fluoroscopic

imaging from RINJ, she was told no images were performed. Id. ¶¶ 67-68.

Elizabeth averred that she suffered various injuries, including pain, suffering,

emotional distress, headaches, problems with balance, and memory loss. Id.

¶ 69.

4 Elizabeth underwent treatment from Dr. William Welch, a neurosurgeon, Dr.

Bryan A. Pukenas, a radiologist, and Dr. Marcia Halpern, a neurologist.

-3- J-A27034-25

The Duxburys raised a negligence claim against Appellees for the care

of Elizabeth and loss of consortium claims on behalf of Brian. Of relevance to

this appeal, the Duxburys alleged that ROA has a principal place of business

in Philadelphia and RINJ, while existing under the law of New Jersey, has a

place of business in Philadelphia. Id. ¶¶ 4-5. They further averred that Dr.

Axelrod is licensed to practice in New Jersey and Pennsylvania, specializes in

physical medicine and rehabilitation, is an employee and agent of ROA and

RINJ, and lists her professional address in Egg Harbor, New Jersey. Id. ¶¶ 7,

15-24.

Appellees filed an answer with new matter. Subsequently, Appellees

filed a motion to dismiss pursuant to 42 Pa.C.S. § 5322(e) 5 and forum non

conveniens. The Duxburys filed a response to this motion. The trial court

permitted discovery as to the forum issue. Ultimately, the trial court granted

the motion to dismiss and directed the Duxburys to file the complaint in New

Jersey. The Duxburys appealed.

On appeal, the Duxburys raise the following questions for our review:

5 In Pennsylvania, the doctrine of forum non conveniens, which originated in

Common Law, has been codified by statute:

Inconvenient forum.-When a tribunal finds that in the interest of substantial justice the matter should be heard in another forum, the tribunal may stay or dismiss the matter in whole or in part on any conditions that may be just.

42 Pa.C.S. § 5322(e).

-4- J-A27034-25

1. Did the lower court abuse its discretion when it dismissed the matter on the basis of forum non conveniens, where the stated “weighty reasons” it relied upon to oust Plaintiffs[] from their chosen forum, were the same “reasons” expressly rejected by the Pennsylvania Supreme Court in Walker v. Ohio River Co., 205 A.2d 43, 46 (Pa. 1964)[?]

2. Did the lower court abuse its discretion when it dismissed the matter against the Defendants on the basis of forum non conveniens, where: 1) defendant ROA is incorporated in the Commonwealth of Pennsylvania; 2) defendant ROA’s registered place of business is in the City of Philadelphia; 3) defendant ROA’s principal/primary place of business is in the City of Philadelphia; 4) defendant RINJ’s registered place of business and primary place of business is in the City of Philadelphia at the same address as ROA; 5) [] the lower court failed to hold the defendants to the burden of proof articulated by this Honorable Court in McConnell v. B. Braun Medical Inc., 221 A.3d 221 (Pa. Super. 2019); and 6) where the public and private factors test favor keeping the case in the Commonwealth of Pennsylvania?

3. Did the lower court err in both its private and public interest factors analysis?

4.

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