MATTHEW BOYERS V. CITY OF FORT THOMAS ; HON . JAMES L . KERR, ADMINISTRATIVE LAW JUDGE ; AND WORKERS' COMPENSATION BOARD
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IMPORTANT NOTICE
NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNA TED "NOT TO BE
PUBLISHED. " PURSUANT TO THE RULES OF
CIVIL PROCED URE PROMUL GA TED BY THE
SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOTBE
CITED OR USED AS A UTHORITY INANY OTHER
CASE IN ANY CO URT OF THIS STA TE.
RENDERED : December 18, 2003
NOT TO BE PUBLISHED
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2003-SC-0167-W C
MATTHEW BOYERS
V.
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U L'~sPPpoYAc- :
APPEAL FROM COURT OF APPEALS
2002-CA-1724-WC
WORKERS' COMPENSATION BOARD NO. 99-65969
CITY OF FORT THOMAS ; HON . JAMES L.
KERR, ADMINISTRATIVE LAW JUDGE;
AND WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
REVERSING
The claimant sustained a work-related fracture of his right arm and moved to
reopen his award after re-fracturing the arm in a fall at home . Based upon a finding that
the work-related accident was the proximate cause of the claimant's present condition,
an Administrative Law Judge (ALJ) increased his award . The Workers' Compensation
Board (Board) affirmed, but the Court of Appeals determined that because the second
fracture did not occur within the course of the claimant's employment, it was immaterial
that the fracture would not have occurred absent the work-related injury. We reverse .
The claimant was employed as a paramedic and firefighter. On September 13,
1999, he sustained a severe fracture to his right arm while attempting to reach an
individual who was trapped inside a burning residence . He was taken to the hospital
where he underwent surgery . After recovering, he returned to work without restrictions
and agreed to settle his claim . On November 12, 2000, he tripped and fell while playing
ball with some children in his back yard, catching his weight on his right arm and refracturing it. He was taken to the hospital where Dr. Grefer performed surgery. The
claimant returned to work without restrictions, and on February 14, 2001, he moved to
reopen his claim upon allegations of a worsening of condition and increased disability.
The claimant's treating physicians were Dr. Grefer and his partner, Dr. O'Brien .
Following the work-related accident, Dr. O'Brien performed an open reduction and
internal fixation for a compound fracture of the ulna and a fracture and dislocation of the
right elbow. When he last saw the claimant on November 10, 1999, the fracture
appeared to have healed well, and he released the claimant to return to work without
restrictions . Dr. O'Brien assigned a 6% impairment .
In November, 2000, Dr. Grefer treated a fracture that was distal to the initial
fracture . The surgical procedure involved removing the old hardware and re-plating and
reducing the new fracture. Dr. Grefer noted that the procedure was very difficult
technically because the bone was deformed . In his opinion, the 1999 fracture made the
arm more susceptible to injury, and the 2000 incident would most likely not have
resulted in a fracture had the claimant's ulna not previously been fractured .
When deposed, Dr. Grefer repeated that if the claimant had not previously been
injured, the 2000 incident would probably not have caused any problem, indicating that
the second fracture occurred at a "stress riser." He explained that a stress riser is a
condition that increases a bone's susceptibility to breaking and that the claimant's
fracture occurred through the end screw of the plate in his bone, an area of increased
susceptibility . Absent the prior fracture and bone plating, the claimant probably would
not have broken his arm when he fell at home and definitely would not have broken it in
that location . Dr. Grefer admitted, however, that the claimant did sustain a new trauma
in the fall at home . In his opinion, the claimant's present impairment was 10%.
Although acknowledging that the claimant sustained a non-work-related trauma
in November, 2000, the ALJ determined that the 1999 injury was the proximate cause
of his present condition and increased his award . The employer then appealed,
maintaining that the ALJ failed to address the requirements of KRS 342.0011(1), which
defines an injury as a "work-related traumatic event . . . arising out of or in the course of
employment which is the proximate cause producing a harmful change in the human
organism. . . ." Although noting that the second fracture might have arisen out of the
work-related injury, the employer asserted that because the second injury did not occur
within the course of the employment, its effects were not compensable. Ropers v.
Vermont American Corp., Ky.App ., 936 S.W.2d 775 (1997).
Since its inception, the Act has required a compensable injury to arise out of and
in the course of the employment . 1916 Ky. Acts, ch. 33, ยง 1 . Although the previous
version of KRS 342 .0011(1) defined an injury in terms of a harmful change in the
human organism, since December 12, 1996, KRS 342 .0011(1) has defined an injury as
a traumatic event that arises out of and in the course of the employment and
proximately causes such a change . Lexington-Fayette Urban County Government v.
West, Ky., 52 S.W.3d 564 (2001). It is undisputed that, in September, 1999, the
claimant sustained a traumatic event that arose out of and in the course of his
employment. What is at issue is whether that particular traumatic event was the
proximate cause of the harmful changes that occurred in November, 2000.
The longstanding rule in Kentucky has been that a worker may be compensated
for all of the harmful changes that flow from a work-related injury and that are not
attributable to an independent, intervening cause . See Beech Creek Coal Co . v. Cox ,
Ky., 237 S .W .2d 56 (1951); Elizabethtown Sportswear v. Stice , Ky.App ., 720 S.W .2d
732 (1986). Thus, where a work-related back injury caused a degenerative condition
that resulted in an injury to the adjacent level of the spine, the injury to the adjacent
level was compensable even though it did not occur at work. Addington Resources,
Inc. v. Perkins , Ky.App ., 947 S.W .2d 421 (1997). But absent a previous work-related
injury, such as occurred in Haycraft v. Corhart Refractories Co . , Ky., 544 S .W.2d 222
(1976), work-related wear and tear that is aroused into disability by a non-work-related
incident is not compensable . Rogers v. Vermont American Corp. , supra .
Based upon Dr. Grefer's testimony, the ALJ determined that although the fall in
the claimant's yard was a traumatic event, the harmful changes that occurred in his arm
were proximately caused by the previous, work-related injury and, therefore, were
compensable. There was no evidence that Dr. O'Brien instructed the claimant to refrain
from any particular type of physical activity after the September, 1999, injury, and it is
undisputed that he returned to work as a firefighter and paramedic without restrictions.
Dr. Grefer testified that the subsequent fall probably would not have caused the
claimant to break his arm had the bone not previously been weakened by the workrelated injury, and he explained the basis for his conclusion . There was no medical
evidence to the contrary .
KRS 342.285 gives the ALJ the sole authority to judge the credibility of witnesses
and to weigh the evidence . Where a finding favors the party with the burden of proof, it
may not be reversed on appeal unless the evidence to the contrary is so overwhelming
that the finding must be viewed as being unreasonable . See Special Fund v. Francis ,
Ky., 708 S .W.2d 641, 643 (1986). That is not the case here .
The decision of the Court of Appeals is hereby reversed, and the award is
reinstated .
Lambert, C .J ., and Graves, Johnstone, Keller, Stumbo and Wintersheimer, JJ .
concur. Cooper, J ., dissents by separate opinion .
COUNSEL FOR APPELLANT :
Bernard J. Blau
Jolly, Blau, Kriege & Turner
3699 Alexandria Pike
P .O. Box 249
Cold Spring, KY 41076
COUNSEL FOR APPELLEE:
James G . Fogle
Ferreri & Fogle
203 Speed Building
333 Guthrie Green
Louisville, KY 40202
RENDERED : DECEMBER 18, 2003
NOT TO BE PUBLISHED
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2003-SC-0167-WC
MATTHEW BOYERS
V
APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-1724-WC
WORKERS' COMPENSATION BOARD NO. 99-65969
CITY OF FORT THOMAS ; HON. JAMES
L . KERR, ADMINISTRATIVE LAW
JUDGE ; AND WORKERS'
COMPENSATION BOARD
APPELLEES
DISSENTING OPINION BY JUSTICE COOPER
On September 13, 1999, Appellant fractured his right arm in a work-related
accident . The fracture was surgically repaired, and he returned to work two months
later without restrictions. He filed a workers' compensation claim that was settled based
upon a six percent (6%) permanent partial disability. On November 12, 2000, he
fractured the same arm in a different place ("distal to the previous fracture") while
playing football at his home . This second non-work-related injury caused his permanent
partial disability to increase to ten percent (10%) . The majority of this Court now holds
that the increase in disability caused by the football injury is also compensable .
KRS 342.0011(1) defines a compensable injury as follows :
any work-related traumatic event or series of traumatic events, including
cumulative trauma, arisingLout of AND in the course of employment which
g
is the proximate cause producing a harmful change in the human
organism . . . . .
(Emphasis added .)
In Rogers v. Vermont American Corp. , Ky. App ., 936 S .W .2d 775 (1997), the
claimant had worked for eighteen years doing hard manual labor involving extensive
use of his arms . He subsequently tore the tendon and muscle of his right biceps while
loading pallets on a pickup truck at his home. The ALJ found that the work-related
stress had so weakened the claimant's biceps that the lifting accident at home was "the
straw that broke the camel's back" and awarded benefits. The Board and the Court of
Appeals disagreed . "Any change in the law that would allow compensation for an
underlying condition caused by work which is brought into disabling reality by a nonwork-related incident is within the purview of the Legislature ." Id . at 777-78 .
The majority opinion's reliance on Beech Creek Coal Co. v. Cox, Ky., 237 S .W .2d
56 (1951), Elizabethtown Sportswear v. Stice, Ky. App ., 720 S .W.2d 732 (1986), and
Addington Resources, Inc. v. Perkins , Ky. App., 947 S .W .2d 421 (1997), is misplaced .
In Cox, the worker reinjured a work-related compound fracture of his leg at home while
following medical advice to exercise the leg by walking . Cox, supra , at 56 . The second
injury required surgery which resulted in his death . Id . Unlike the case sub judice , it
was the following of medical advice with respect to the previous injury that caused the
claimant to fall and reinjure his leg . In Stice, the worker died as a result of an allergic
reaction to dye inserted in her spinal cord during a myelogram performed to diagnose
her work-related injury. It is well settled that aggravation of a work-related injury by
medical treatment is compensable . See generally Stice, supra , at 734. Perk ins
involved the question of whether the employer was required to pay medical expenses
incurred after a non-work-related injury aggravated a prior work-related injury . In that
-2-
case, the Court of Appeals was construing the language of KRS 342 .020, not KRS
342.0011(1) .
As in Ro ers, supra , Appellant's prior work-related injury did not cause him to fall
and reinjure himself while playing football . It only caused the consequences of the
football injury to be more severe. While it is arguable that the increased severity of the
football injury arose out of the employment, KRS 342 .0011(1) requires that a
compensable injury also occur "in the course of employment ." Manifestly, Appellant's
football injury did not occur in the course of his employment .
Accordingly, I dissent.
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