Foxton v. Woodmansee

388 P.2d 275, 386 P.2d 659, 236 Or. 271
CourtOregon Supreme Court
DecidedNovember 13, 1963
StatusPublished
Cited by38 cases

This text of 388 P.2d 275 (Foxton v. Woodmansee) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Foxton v. Woodmansee, 388 P.2d 275, 386 P.2d 659, 236 Or. 271 (Or. 1963).

Opinions

LUSK, J.

This is an action for malpractice against an osteopathic physician and surgeon. The jury returned a verdict for the defendant which the court set aside. The defendant appeals.

The plaintiff, a woman 55 years of age, sustained a Colles’ fracture of her right wrist as the result of a fall on an icy stepping stone in her hack yard. She consulted the defendant, who sent her to the Portland Osteopathic Hospital where he reduced the fracture. The operation was performed on the evening of January 12, 1960, the day that plaintiff was injured. On July 20, 1961, plaintiff filed her complaint alleging [273]*273that the negligence of the defendant has caused her pain and suffering, displacement and abnormality of the right wristbones and deformity and stiffness of the hand and fingers, nerves and soft tissues.

The case was tried upon an amended complaint, in which the specifications of negligence are as follows:

“1. In attempting to reduce the fractures without sufficient prior experience, and without adequate knowledge of the necessary placement of the bones and a cast. (There was no evidence to support this charge.)
“2. In placing a cast upon plaintiff’s arm with her hand * * * in the wrong position.
“3. In placing a cast upon plaintiff’s arm which extended too far outward on the fingers thereof.
“4. In failing and neglecting to remove said cast and replace the same with a cast with plaintiff’s hand in the proper position.”

After the verdict for the defendant was returned the judge announced from the bench that he would set it aside on his own motion on the ground that there was undisputed evidence that defendant was negligent in “leaving the cast to the fingertips for top long a period or leaving the cast on to the fingertips”. Subsequently the plaintiff filed a motion for a new trial and the court entered an order granting such motion on all the grounds therein specified and specifically ordering a new trial on its own motion on the grounds theretofore stated from the bench.

The sole question is whether there is adequate basis in the record for the order.

A brief statement of the evidence becomes necessary.

A Colles’ fracture was defined by one of the expert witnesses as “an upward displacement of the distal [274]*274end of the radins bone, which is the upper arm bone next to the thumb.” By upward he meant “bending up toward the back of the hand rather than the palm.” The defendant had the arm X-rayed and from the film made an X-ray diagnosis of a comminuted impacted Colies’ fracture of the plaintiff’s right wrist. Reduction of the fracture was accomplished while the plaintiff was under a general anesthetic and the plaintiff’s right arm was thereafter placed in a plaster of Paris cast in “mid-position” by which the radius is maintained straight with the hand tipped slightly to the ulna side, that is, toward the little finger. The cast extended about to the end of the little finger and exposed the tips of the other three fingers. Because of the “hypermobility” of the fracture, the defendant extended the cast “beyond the average to help maintain the position of the hand and to prevent as much as possible the retraction of the head of the radius, which is our problem.” The defendant intended to cut the cast back at the end of three weeks to allow for freedom of the fingers.

On January 13, 1960, the date following the operation, the defendant ordered the plaintiff discharged from the hospital.

Doctor "Woodmansee saw the plaintiff in his office a number of times thereafter. She was very much concerned about the outlook for the appearance of her wrist and the effect of the injury on her work. She was at the time she sustained her injury a billing clerk, whose duties included operating a computer. The defendant explained to her that only time would tell about these things, that the immobilization would have to be maintained for some time and that she was “really going to have to work at it to get the function in there”. By working at it he meant carry[275]*275ing out a program for exercising the hand and fingers. Ultimately the defendant concluded that he was not “getting through to her” and called in Doctor John E. Scanlon for consultation. Doctor Scanlon is an osteopathic physician and surgeon on the staff of the Portland Osteopathic Hospital.

Doctor Scanlon concluded from his examination of the X-rays that “this was a very difficult fracture,” that it was “ severely comminuted” and that it “would be very difficult to hold these fragments in their proper alignment.” He felt that a remanipulation and recasting would bring about an improvement on the previous reduction and so recommended to the plaintiff.

She consented and on January 26, 1960, Doctor Scanlon, with the defendant assisting, “rendered a closed reduction under anesthesia” and casted the arm in what is called the Cotton-Loder position in which the fingers are bent downwards towards the palm. A medical witness testified that it is sometimes called the bell boy position, because “it is like a bell boy reaching for the tip in the back”.

The plaintiff thereafter continued to be under the defendant’s care. On March 4, 1960, the cast was removed by a technician at the hospital. The defendant was present. Prom then until April twenty-sixth, the defendant saw the plaintiff about twice a week for the purpose of instructing her in the exercises necessary to overcome the stiffness in her hands and fingers. The defendant testified that he “kept insisting that she wasn’t doing enough, because she wasn’t getting the result that should have been expected” and she said that she was exercising “but it hurt too much,” and he told her in response that “she had to do it in spite of some hurt.”

[276]*276Doctor Edwin A. Mickel, an orthopedic surgeon called by the plaintiff, testified that there was a foreshortening of the radius of the plaintiff’s right arm due to the failure to put the original cast in the proper position and that this was not done until two weeks later when it was too late to do anything about it. In Doctor Miekel’s opinion the right position was the Cotton-Loder position. There was no dispute about the fact that the radius was foreshortened, but there is conflict in the evidence as to whether the method used by the defendant was a proper method and whether the foreshortening of the radius was due to the method used by the defendant or was something impossible to have been avoided, in view of the character of the fracture, no matter what method was employed. There is no conflict about the fact that the plaintiff suffered certain abnormalities and stiffness in the right hand and fingers and wrist, but whether these were the result of the alleged negligence of the defendant in casting the plaintiff’s arm in a position which Dr. Mickel considered improper, was a jury question. We do not understand that the plaintiff contends otherwise.

The trial judge based his ruling that the defendant was guilty of negligence as a matter of law upon certain testimony given by Doctor Scanlon on direct examination.

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Bluebook (online)
388 P.2d 275, 386 P.2d 659, 236 Or. 271, Counsel Stack Legal Research, https://law.counselstack.com/opinion/foxton-v-woodmansee-or-1963.