Russell, Frederick v. Aluma Form, Inc.

2021 TN WC 175
CourtTennessee Court of Workers' Compensation Claims
DecidedApril 28, 2021
Docket2019-08-0191
StatusPublished

This text of 2021 TN WC 175 (Russell, Frederick v. Aluma Form, Inc.) is published on Counsel Stack Legal Research, covering Tennessee Court of Workers' Compensation Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Russell, Frederick v. Aluma Form, Inc., 2021 TN WC 175 (Tenn. Super. Ct. 2021).

Opinion

FILED Apr 28, 2021 02:28 PM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT MEMPHIS

FREDERICK RUSSELL, ) Docket No. 2019-08-0191 Employee, ) v. ) ALUMA FORM, INC., ) State File No. 7324 2018 Employer ) and ) AMERICAN COMPENSATION INS. CO., ) Judge Amber E. Luttrell Carrier. )

COMPENSATION ORDER

The Court held a Compensation Hearing on Mr. Russell’s claim for a shoulder injury. Aluma Form accepted the shoulder sprain but contested a labral tear and impingement diagnosed by an unauthorized physician. The issues are whether Mr. Russell proved causation for these conditions and if so, the amount of permanent partial disability benefits to which he is entitled, and payment of his unauthorized medical bills and temporary disability benefits. For the following reasons, the Court holds Mr. Russell established causation for his shoulder injury and he is entitled to the requested benefits.

History of Claim

Mr. Russell worked for Aluma Form as an assembly technician. On January 17, 2018, he pulled a basket of heavy parts that was sitting on a rolling cart when the wheel stuck, causing a jerking injury to his left shoulder and neck. He felt severe pain, reported the injury, and requested treatment. After several days, Aluma Form sent him to an occupational injury clinic for initial treatment.1 Mr. Russell saw a physician, who after three visits ordered MRIs and referred him to an orthopedic specialist.

Aluma Form provided a panel of orthopedic specialty groups, which included Memphis Orthopedic Group. Mr. Russell testified he requested Dr. Christopher Pokabla at Memphis Orthopedic Group and returned the panel to the adjuster. The adjuster, however,

1 Aluma Form questioned Mr. Russell regarding prior medical records, which are not relevant because they did not mention past shoulder treatment.

1 informed him that he could not select a specific physician and must choose a practice group from the panel. The parties introduced the first panel form offered to Mr. Russell, and the employee portion was blank. (Ex. 4.) However, the parties agreed that Mr. Russell chose Dr. Pokabla, and the adjuster declined his selection, as Mr. Russell testified.

Mr. Russell then selected Memphis Orthopedic Group, and Aluma Form authorized treatment with Dr. Riley Jones. (Ex. 5.) Aluma Form also provided two authorized neurosurgical evaluations for Mr. Russell’s neck with Dr. John Brophy and pain management with Dr. Matthew Kangas. Mr. Russell later sought unauthorized treatment for his shoulder with Dr. Apurva Dalal, who performed surgery for an anterior labral tear.

Dr. Jones

Dr. Jones testified he saw Mr. Russell for treatment five times. At every visit but one, Dr. Jones found a positive O’Brien’s test, positive Speed’s test, and “grossly intact range of motion with pain” on exam of the shoulder. He explained that a positive O’Brien’s test suggests a labral tear, and the positive Speed’s test suggests irritation of the bicep tendon. Dr. Jones stated that “grossly intact motion” means Mr. Russell had almost full motion, but “it hurt him to go to extremes.” Dr. Jones further noted Mr. Russell was tender to palpation at multiple locations at the shoulder.

Dr. Jones ordered an MRI and an EMG of both upper extremities, which were normal. He treated Mr. Russell conservatively and testified the treatment he provided was causally-related to the work injury.

Dr. Jones additionally treated Mr. Russell’s left-sided neck complaints. His working diagnosis for the neck was cervical spondylosis and possible myelopathy. A cervical MRI revealed abnormalities, so Dr. Jones referred Mr. Russell to Dr. Brophy for a neurosurgical evaluation. Dr. Brophy stated abnormalities were not work-related and referred Mr. Russell back to Dr. Jones. Mr. Russell saw Dr. Brophy once more for his cervical complaints, and Dr. Brophy again offered treatment through his personal insurance and stated he could return to work full duty.

Dr. Jones last saw Mr. Russell for treatment on May 23, 2018. Mr. Russell’s symptoms had not changed: he still felt parascapular and shoulder pain. Dr. Jones testified he saw no objective findings, and his exam showed nothing other than pain complaints. He then referred Mr. Russell to Dr. Kangas for pain management. He testified that Mr. Russell was “pretty much” at maximum medical improvement at that visit. However, he also stated that he did not discharge Mr. Russell, and he could have returned to see him. Dr. Jones’s office note was silent regarding whether he told Mr. Russell he could return.

Based on the referral, Mr. Russell next saw Dr. Kangas for neck pain diagnosed as cervicalgia. Dr. Kangas ordered a medial branch block at C4-C7, which was denied by utilization review. According to Mr. Russell, the case manager informed him of the denial on August 10, 2018. (Ex. 11.) A few days later, Mr. Russell canceled his August 16, 2018 2 appointment with Dr. Kangas and did not return. Regarding Mr. Russell’s work status, Dr. Kangas responded to a questionnaire and stated Mr. Russell could work full duty. (Ex. 13.)

Aluma Form sent Mr. Russell back to Dr. Jones in March 2020 for an impairment evaluation after his treatment with Dr. Dalal detailed below. Dr. Jones rated him based on motion loss. He measured Mr. Russell’s active range of motion using a goniometer, took three measurements, and picked the maximum measurement to assign impairment. Dr. Jones calculated Mr. Russell’s range-of-motion impairment as 6% to the upper extremity, which converted to 4% to the whole person.

Regarding causation for the labral tear found by Dr. Dalal, Dr. Jones testified that during his treatment, he saw “no clinical or objective findings that Mr. Russell had a rotator cuff tear or labral tear.” He further stated, “he had a complaint of pain. It was a sprained shoulder, but there were no indications of any tears,” and he found no basis for surgery. However, Dr. Jones acknowledged on cross-examination that he noted in his record both nonsurgical and surgical options for Mr. Russell’s shoulder.

Aluma Form’s counsel further questioned Dr. Jones regarding Dr. Dalal’s post- operative diagnosis of an anterior labral tear and asked whether it was related to the work injury. Dr. Jones stated, “I can’t speak to what Dr. Dalal saw. All I can tell you is on our examination and two MRIs which reported there was no evidence of a labral tear.” He later testified, “I think what we should have done was probably an MRI arthrogram at that point . . . because that shows up these tears. Labral tears are, you know, weird.”

Dr. Dalal

Mr. Russell saw Dr. Dalal for additional treatment of his left shoulder several months after seeing Dr. Kangas. Dr. Dalal reviewed Mr. Russell’s prior treatment records and testified that the history and symptoms Mr. Russell reported to Drs. Jones, Brophy, and Kangas were consistent with Mr. Russell’s complaints to him.

On exam, Dr. Dalal found severely limited range of motion, significant tenderness to palpation, and positive impingement and supraspinatus tests. He stated the supraspinatus test findings suggested Mr. Russell might have a rotator cuff tear or inflammation in the rotator cuff muscles. He ordered an MRI, which was normal. Dr. Dalal diagnosed impingement syndrome with adhesive capsulitis and recommended a shoulder arthroscopy. Dr. Dalal explained to Mr. Russell that “just because the MRI was negative, it doesn’t rule it out.” He noted that Mr. Russell reported he was not covered by workers’ compensation insurance and wanted to proceed with surgery.

Dr. Dalal performed the surgery, which revealed an anterior labral tear.

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Related

Thomas v. Aetna Life & Casualty Co.
812 S.W.2d 278 (Tennessee Supreme Court, 1991)

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Bluebook (online)
2021 TN WC 175, Counsel Stack Legal Research, https://law.counselstack.com/opinion/russell-frederick-v-aluma-form-inc-tennworkcompcl-2021.