Williams, Consuelo v. Ceco Door Products

2017 TN WC 150
CourtTennessee Court of Workers' Compensation Claims
DecidedAugust 3, 2017
Docket2016-07-0545
StatusPublished

This text of 2017 TN WC 150 (Williams, Consuelo v. Ceco Door Products) 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
Williams, Consuelo v. Ceco Door Products, 2017 TN WC 150 (Tenn. Super. Ct. 2017).

Opinion

FILED

August 3, 2017

TH COURT OF WORKERS’ COMPENSATION TENNESSEE BUREAU OF WORKERS’ COMPENSATION CLAIMS IN THE COURT OF WORKERS’ COMPENSATION CLAIMS Time 1S AM AT JACKSON _— CONSUELO WILLIAMS, ) Docket No. 2016-07-0545 Employee, ) V. ) CECO DOOR PRODUCTS, ) State File No. 17425-2015 Employer, ) And ) TRAVELERS INDEMNITY INS. CO., ) Judge Amber E. Luttrell Insurance Carrier. )

COMPENSATION HEARING ORDER

This matter came before the undersigned Workers’ Compensation Judge on June 22, 2017, for a Compensation Hearing. The parties stipulated Ms. Williams sustained a compensable injury to her left knee on March 2, 2015. The parties presented competing impairment ratings from Dr. Douglas Haltom, the authorized treating physician, and Dr. Samuel Chung, Ms. Williams’ evaluating physician. The central legal issue is whether Ms. Williams successfully rebutted the presumption of correctness afforded Dr. Haltom’s permanent impairment rating.' The secondary issue is whether Ms. Williams is entitled to discretionary costs. For the reasons set forth below, the Court holds Ms. Williams rebutted the presumption of correctness of Dr. Haltom’s rating and awards Ms. Williams six-percent permanent partial disability to the body as a whole. Additionally, the Court holds Ms. Williams is entitled to discretionary costs.

History of Claim

Ms. Williams works for Ceco Door Products as a production technician. Her job duties include driving a forklift, stacking doors, and performing computer work. On March 2, 2015, Ms. Williams injured her left knee at work when she tripped over a rail on the floor, fell, and struck her knee on the edge of a door, dislocating her patella. She

' The parties stipulated to pertinent findings of fact in the Appendix of this Order and more fully set forth in the parties’ Joint Pre-Compensation Hearing Statement included as Exhibit 6 in the Technical Record.

l received emergency care the same day and was referred for orthopedic evaluation. She received authorized orthopedic treatment from Dr. Douglas Haltom, whom she selected from a panel. She later underwent an independent medical evaluation by Dr. Samuel Chung. The parties took both physicians’ depositions and introduced the following medical proof at the hearing.

Medical Treatment and Physicians’ Testimony a. Dr. Haltom

Ms. Williams first saw Dr. Haltom on March 6, 2015, and complained of pain and swelling in her knee. Dr. Haltom noted significant examination findings and an X-ray indicated a significant tilt and almost subluxation of the patella. Dr. Haltom ordered an MRI, which revealed evidence of a transient patellar dislocation. He concluded, “Given her plain film findings and MRI findings of continued partial subluxation, her apprehension and her high risk of recurrent instability, I have recommended surgical intervention.” (Ex. 3 at 4.)

On April 16, Dr. Haltom performed surgery on Ms. Williams’ left knee. Dr. Haltom testified the surgery included a ligament reconstruction of the medial supporting ligament to support the patella and an osteotomy to correct anatomic malalignment, which made her more prone to episodes of patellar instability.

Ms. Williams continued seeing Dr. Haltom and began physical therapy. During her follow-up, Ms. Williams complained of functional weakness and pain in her knee, specifically with stairs. On June 16, Dr. Haltom noted a mild antalgic gait and quadriceps atrophy on examination but also excellent patellar stability. An X-ray indicated the osteotomy was consolidating, no evidence of hardware failure, and her patella was sitting centrally within her trochlear groove, which suggested the alignment was improved. Dr. Haltom continued Ms. Williams’ restriction from the forklift at work and later noted her pain mostly resolved. He stated, “[S]he still complains of just some vague pain, but making daily improvements.” (Ex. 3 at 20.) After six months of treatment and light-duty, Dr. Haltom returned Ms. Williams to full-duty work on September 25.

During her treatment, Ms. Williams continued working at Ceco on light-duty restrictions. Ms. Williams primarily performed seated work in the safety office. She testified she did not miss any work because Ceco did not want a lost-time accident. Ms. Williams was unable to drive; therefore, either her supervisors or family drove her to work each day.

Dr. Haltom last saw Ms. Williams on November 4, when she complained of continued mild weakness, particularly with steps and a mild ache-type pain. Dr. Haltom concluded she reached maximum medical improvement and indicated Ms. Williams

2 tolerated well the return to full-duty. Dr. Haltom noted no significant effusion in her knee with excellent patellar stability and tracking. As for her pain, Dr. Haltom explained, “Patellofemoral pain in general is an extremely complicated process, the articulation and mechanics of the patellofemoral joint, numerous pain generators . . . Ache pain can be from a variety of things postoperative, still postoperative pain .. . Hard to determine exactly the source of that ache pain.” Jd. at 29. According to Ms. Williams, Dr. Haltom informed her there was no further treatment left after surgery and therapy. He told her “it would take time.”

In addressing permanent impairment, Dr. Haltom assigned a two-percent permanent impairment to the whole person. To calculate the impairment, he utilized the diagnosis-based impairment rating method and a diagnosis of patellar subluxation or dislocation listed in Table 16-3 (p. 510), placing her in Class 1. (Ex. 7, November 12 record.) Class 1 in Table 16-3 is defined as a “mild instability.” Dr. Haltom assigned a grade modifier of 1 for her physical exam and a zero for her functional history, which resulted in a six-percent lower extremity impairment, which correlated to two-percent to the whole person.

Concerning Ms. Williams’ allegations of knee buckling or “giving way” after her release, Dr. Haltom did not believe knee buckling indicated patellar instability per se. (Ex. 7 at 22-23.) Dr. Haltom further did not believe that Ms. Williams’ quadriceps weakness, buckling, and difficulties with her knee at work as confirmed by her coworkers warranted a Class 2 “moderate instability” rating. Dr. Haltom stated, “She has some ongoing knee symptoms. That-that’s fair to say. Correct.” Jd. at 32, 24. He acknowledged that he placed her in Class 1 for mild instability and stated that Ms. Williams’ current symptoms could change some of her grade modifiers in Class 1, which would increase her rating. However, Dr. Haltom indicated, “[I]t would be difficult for me —without seeing her walk and assessing her, it would be difficult for me to accurately say.” Id. at 33. Dr. Haltom maintained that he based his impairment rating on his last examination of Ms. Williams in November 2015 and would not personally know how she is doing now.

b. Dr. Chung

Ms. Williams saw Dr. Chung for an independent medical evaluation (IME) on July 6, 2016. Dr. Chung reviewed Dr. Haltom’s records and took a history from Ms. Williams. Ms. Williams reported ongoing difficulty climbing stairs, squatting, and entering and exiting the forklift at work. She further reported she was unable to run after this injury. On examination, Dr. Chung noted a positive patellar grind test of the left knee, patellar tracking problems, moderate instability of lateral movement and a moderate degree of lateral patella translation at twenty degrees on flexion. Dr. Chung further noted decreased range of motion, decreased muscle strength, and gross evidence of left quadriceps atrophy. Dr. Chung summarized his exam findings by stating Ms. Williams had “clear

3 positive findings on examination that showed that she still has long-term residual symptoms on her patella[.]” (Ex. 6 at 11.)

In addressing impairment, Dr.

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2017 TN WC 150, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-consuelo-v-ceco-door-products-tennworkcompcl-2017.