In re Compensation of Morin, 041919 ORWC, 17-05760

Case DateApril 19, 2019
CourtOregon
71 Van Natta 415 (2019)
In the Matter of the Compensation of RICKY J. MORIN, Claimant
WCB No. 17-05760
Oregon Worker Compensation
April 19, 2019
          Jodie Phillips Polich, Claimant Attorneys           SAIF Legal Salem, Defense Attorneys           Reviewing Panel: Members Woodford and Ousey.           ORDER ON REVIEW          Claimant requests review of that portion of Administrative Law Judge (ALJ) Naugle’s order that upheld the SAIF Corporation’s denial of his new/ omitted medical condition claim for left shoulder conditions. On review, the issue is compensability. We affirm.          FINDINGS OF FACT          We adopt the ALJ’s “Findings of Fact” with the following summary and supplementation.          In January 2011, claimant was evaluated by Dr. Jurani-Suarez concerning left shoulder joint and arm pain that he experienced after he “pulled something.” (Ex. 1). Dr. Jurani-Suarez recommended conservative treatment. (Ex. 1-3).          In August 2012, claimant was evaluated by Dr. Pham for left shoulder pain that claimant attributed to driving, and which had been present for about six months. (Ex. 2). Dr. Pham performed a therapeutic maneuver to increase claimant’s range of motion, and reported improvement following that procedure. (Ex. 2-4).          In October 2013, claimant was involved in a work-related motor vehicle accident (MVA). (Ex. 3). Subsequently, SAIF accepted his claim for left lower lip laceration, right lower leg abrasions, left chest wall contusion, abdominal wall contusion, left shoulder contusion, cervical strain, and left greater trochanteric contusion. (Ex. 12).          On October 31, 2013 (three days after the MVA), claimant was evaluated by Dr. Swan, his attending physician. (Ex. 5). On that day, and also when he evaluated claimant on November 4, 2013, Dr. Swan did not record any complaints of left shoulder pain. (Exs. 5, 6).          [71 Van Natta 416] On November 13, 2013, claimant reported pain at the acromioclavicular (AC) joint. (Ex. 7). Dr. Swan noted that claimant’s left shoulder range of motion was normal, and diagnosed a left shoulder contusion. (Id.) A left shoulder x-ray showed osteoarthritis of the AC joint. (Ex. 8).          In March 2014, Dr. Swan reported that claimant’s lacerations, abrasions and contusions were resolved. (Ex. 17-1).          On March 28, 2014, claimant was evaluated by Dr. Fellars, an orthopedic surgeon, at SAIF’s request. (Ex. 18). On examination, claimant’s shoulders had symmetrical range of motion and 5/5 strength. (Ex. 18-7).          In March 2015, claimant was evaluated by Dr. Lewis at SAIF’s request. (Ex. 29). He noted tenderness over the left AC joint, and abnormalities of the biceps (left greater than right). (Ex. 29-5). He diagnosed a left shoulder contusion (resolved), AC joint arthritis, and a possible left proximal biceps tendon rupture. (Ex. 29-6). Dr. Lewis commented that claimant’s mechanism of injury (a direct blow to the left side of the shoulder) was consistent with a left shoulder contusion, rather than a left shoulder strain. (Ex. 29-7).          In September 2015, Dr. Swan was deposed. (Ex. 32). He testified that claimant’s left shoulder examinations showed “good range of motion.” (Ex. 32-13).          In August 2017, claimant was evaluated by Dr. Stanley, an orthopedic surgeon. He diagnosed a biceps tendon rupture, and recommended a left shoulder MRI to further evaluate the rotator cuff. (Ex. 37).          In September 2017, an MRI showed tears of the supraspinatus...

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