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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Claim of Wallace v. Oswego Wire, Inc.

The Workers' Compensation Board affirmed a decision finding a claimant's left hand injury consequentially related to a prior right knee injury. While recuperating from a work-related right knee injury, the claimant's knee gave out, causing him to cut his left hand with a table saw. The employer and its carrier appealed, arguing the claimant's conduct was an intervening act. The court, led by Peters, J., affirmed the Board’s determination, finding substantial evidence that using the table saw, despite the knee condition, was not an unreasonable intervening cause, as prior buckling was infrequent. Judges Crew III, Carpinello, Lahtinen, and Kane concurred with the decision.

Workers' CompensationConsequential InjuryIntervening CauseRight Knee InjuryLeft Hand InjuryTable Saw AccidentCausationAppellate ReviewBoard DecisionFactual Issue
References
4
Case No. MISSING
Regular Panel Decision
Feb 01, 1978

Claim of Goss v. Hornblower & Weeks

Claimant, a stockbroker, sustained a compensable left knee injury in 1974, leading to surgery and a 10% schedule loss award. Subsequently, the claimant sought to have a right knee injury, sustained in 1975 after being struck by a bicycle while en route to a medical examination for his left knee, deemed a consequential injury. While the referee initially found the right knee injury compensable, the Workers' Compensation Board reversed this decision, concluding that the evidence did not establish a direct and natural link between the industrial left knee injury and the subsequent right knee injury. The appellate court affirmed the Board's determination, citing substantial evidence in the record to support the disallowance of the claim.

Workers' CompensationKnee InjuryConsequential InjurySchedule LossBoard ReversalAffirmationStockbrokerAccidentMedical ExaminationAppellate Review
References
1
Case No. ADJ9210498
Regular
Apr 04, 2017

ELEANOR DEFRANCO vs. MONTEREY FISH COMPANY, ENSTAR (US) INC., dba ENSTAR ADMINISTRATORS FOR SEABRIGHT INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior award that found industrial injury to applicant's right ankle, right shoulder, and back, but not her right knee. The WCAB rescinded the finding of industrial injury to the back, while otherwise affirming the prior decision. Specifically, the WCAB affirmed the finding that the applicant sustained industrial injury to her right ankle and right shoulder, and that medical treatment for her right knee is compensable to relieve the effects of the industrial injuries. The WCAB adopted the WCJ's reasoning for these decisions, including the application of the *Braewood* principle for treating the non-industrial knee condition.

Workers' Compensation Appeals BoardEleanor DefrancoMonterey Fish CompanyEnstarSeabright Insurance CompanyIndustrial InjuryRight AnkleRight ShoulderRight KneeBack Injury
References
1
Case No. ADJ8336436
Regular
Mar 25, 2016

CARMEN NAVARRO vs. VENICE COMMUNITY HOUSING CORPORATION, ATHENS ADMINISTRATORS

Here's a summary for a lawyer: The Workers' Compensation Appeals Board (WCAB) denied Carmen Navarro's petition for reconsideration. Navarro sought to establish her right knee injury as a compensable consequence of a prior admitted left knee injury. The WCJ's report, adopted by the WCAB, found the right knee injury to be non-industrial. Medical evidence, particularly from QME Dr. Williamson, indicated the right knee pain arose independently in August 2013, distinct from the earlier left knee injury and treatment period. The Board specifically rejected any consideration of "rashly undertaken" activity as irrelevant to the legal analysis.

WCABPetition for ReconsiderationWorkers' Compensation Appeals BoardVenice Community Housing CorporationAthens AdministratorsADJ8336436Los Angeles District OfficeWCJcompensable consequenceleft knee injury
References
1
Case No. CV-23-1229
Regular Panel Decision
Dec 12, 2024

In the Matter of the Claim of Percival Webster

Percival Webster, the claimant, sustained a work-related right knee injury in April 2018, leading to a 50% schedule loss of use (SLU) award for his right leg. In March 2020, while working as a correction officer, he incurred a compensable right hip injury. Following conflicting medical evaluations by Dr. John Ioia and Dr. Adam Soyer regarding the SLU attributable to the hip injury, a Workers' Compensation Law Judge (WCLJ) credited Dr. Ioia's testimony and awarded a 50% SLU for the right leg based solely on the hip injury. The employer's carrier appealed, arguing for an offset against the prior knee injury award under Matter of Genduso. However, citing Matter of Johnson, the Workers' Compensation Board affirmed the WCLJ's decision, finding that the claimant sufficiently demonstrated the hip and knee injuries were separate pathologies. The Supreme Court, Appellate Division, Third Judicial Department, affirmed the Board's decision, concluding that Workers' Compensation Law § 15 (7) allows for multiple SLU awards for successive injuries to the same body member if an increased loss of use from the subsequent injury is proven.

Schedule Loss of UseRight Leg InjuryHip InjuryKnee InjurySuccessive InjuriesMedical EvidenceIndependent Medical ExaminationWorkers' Compensation Board AppealAppellate Division DecisionJudicial Precedent
References
6
Case No. MISSING
Regular Panel Decision

Matter of Sanchez v. Sts Steel

The claimant appealed a Workers' Compensation Board decision from January 7, 2016, which granted a 30% Schedule Loss of Use (SLU) award for a right knee injury but applied apportionment to it. The claimant, a steel worker, sustained a work-related right knee injury in February 2007, necessitating a second arthroscopy. He had a prior nonwork-related right knee injury and surgery in 2005. The WCLJ found 66⅔% of the SLU attributable to the 2007 injury and 33⅓% to the 2005 injury. The Board upheld this apportionment. The court affirmed the Board's decision, finding it supported by substantial evidence from medical examiners that the prior nonwork-related injury, had it been compensable, would have resulted in an SLU finding.

Workers' CompensationSchedule Loss of UseApportionmentRight Knee InjuryMeniscus TearPreexisting ConditionMedical EvidenceSubstantial EvidenceAppellate ReviewWorkers' Compensation Board
References
11
Case No. 2019 NY Slip Op 05820
Regular Panel Decision
Jul 25, 2019

Matter of Ellis v. First Student, Inc.

Claimant, Kevin Ellis, a school bus driver, sustained work-related injuries in November 2014 when struck by a vehicle. His initial claim for workers' compensation benefits was established for injuries to his back, left hip, and left knee. The Workers' Compensation Board later amended the claim to include causally-related injuries to his right knee and right shoulder, based on medical evidence and testimony. The employer and its carrier appealed this decision. The Appellate Division, Third Department, affirmed the Board's decision, finding substantial evidence to support the Board's determination that the injuries to the right knee and right shoulder were causally related to the work accident, crediting the testimony of orthopedist Charles Peralo over the conflicting opinion of physician Harvey Siegel.

Workers' CompensationCausally Related InjuryRight KneeRight ShoulderSchool Bus DriverSubstantial EvidenceMedical TestimonyCredibilityAppellate ReviewAmendment of Claim
References
13
Case No. ADJ6509769
Regular
Aug 16, 2010

JOAN VALENTINE vs. CB RICHARD ELLIS, INC., ZURICH NORTH AMERICA

The applicant sought reconsideration of a WCJ decision that awarded $4\%$ permanent disability for a low back injury but denied claims for right knee, right ankle, and sleep disorder injuries. The applicant contended the WCJ erred by not finding an industrial injury to her right knee, arguing her attorney failed to enter relevant medical reports into evidence. The Appeals Board granted reconsideration, rescinded the original award, and returned the matter to the trial level. This action was based on the potential insufficiency of the PQME's review, as the applicant's testimony regarding her knee injury was corroborated by contemporaneous medical reports that may not have been fully considered.

Petition for reconsiderationPro perFindings and AwardIndustrial injuryLow back injuryPermanent disabilityRight knee injuryRight ankle injurySleep disorderVerified petition
References
8
Case No. ADJ3023725 (STK 0186210) ADJ 6853419
Regular
Mar 03, 2016

IGNACIO ROA vs. ROHRER BROTHERS/GENERAL PRODUCE; FREMONT COMPENSATION INSURANCE COMPANY, in liquidation CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, administered by SEDGWICK; XL SPECIALTY/BROADSPIRE; STATE COMPENSATION INSURANCE FUND

This case concerns applicant Ignacio Roa's petition for reconsideration of a workers' compensation award finding 20% permanent disability for a right knee injury with 50% apportionment to nonindustrial factors. Roa also sought to establish an industrial injury to his left knee as a consequence of the right knee injury and a cumulative trauma injury to both knees, which the Workers' Compensation Appeals Board denied. The Board affirmed the judge's findings, relying on Dr. Henrichsen's opinion that Roa's left knee symptoms were due to the natural progression of prior surgery and wear, not industrial factors. A dissenting opinion argued for further medical development, finding persuasive evidence of industrial contribution to the left knee condition.

Workers' Compensation Appeals BoardIgnacio RoaRohrer BrothersFremont Compensation Insurance CompanyCIGAXL SpecialtyState Compensation Insurance Fundpermanent disabilityapportionmentnonindustrial factors
References
5
Case No. ADJ2184424
Regular
May 11, 2011

TORY RILEY vs. CITY OF PASADENA

The Appeals Board amended the prior award to find applicant sustained injury only to her right knee, rescinding the finding of a left knee injury as a compensable consequence. The matter was returned to the trial level for a new permanent disability rating for the right knee injury, requiring consideration of the Agreed Medical Examiner's apportionment and prior awards. Temporary disability for a specific period was deferred pending further determination regarding its relation to the now-excluded left knee injury. Applicant's attorney's petition for increased fees was deemed moot and would have been dismissed for procedural noncompliance.

Compensable consequence injuryPermanent disability ratingAgreed Medical Examiner (AME)AMA GuidesApportionmentLeft knee replacementRight knee injuryTemporary disabilityAttorney feesFindings and Award
References
0
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