Matter of Stange v. Angelica Textile Services, Inc. , 32 N.Y.S.3d 374 ( 2016 )


Menu:
  •                           State of New York
    Supreme Court, Appellate Division
    Third Judicial Department
    Decided and Entered: May 19, 2016                      521670
    ________________________________
    In the Matter of the Claim of
    DONALD STANGE,
    Respondent,
    v
    ANGELICA TEXTILE SERVICES,                  MEMORANDUM AND ORDER
    INC., et al.,
    Appellants.
    WORKERS' COMPENSATION BOARD,
    Respondent.
    ________________________________
    Calendar Date:   April 27, 2016
    Before:   Peters, P.J., Lahtinen, Garry, Clark and Mulvey, JJ.
    __________
    Goldberg Segalla, LLP, Rochester (Jamie L. Caldwell of
    counsel), for appellants.
    Lewis & Lewis, PC, Batavia (Daniel P. Kuhn of counsel), for
    Donald Stange, respondent.
    Eric T. Schneiderman, Attorney General, New York City
    (Steven Segall of counsel), for Workers' Compensation Board,
    respondent.
    __________
    Clark, J.
    Appeal from a decision of the Workers' Compensation Board,
    filed October 30, 2014, which ruled, among other things, that
    claimant sustained a compensable injury and awarded workers'
    compensation benefits.
    -2-                521670
    Claimant, a production worker, sustained an established
    work-related injury to his right shoulder in January 2012 when a
    production hamper struck him. The employer did not dispute the
    claim, and claimant had authorized surgery in April 2012 to
    repair a right shoulder rotator cuff tear and was awarded
    benefits for a temporary total disability. On July 30, 2012,
    while claimant was recovering and after he had been cleared to
    start physical therapy, he stumbled on stairs and reinjured his
    right shoulder when he grabbed the railing to catch himself. An
    MRI disclosed a torn tendon in his right shoulder. A request by
    claimant's treating orthopaedic surgeon, Matthew Landfried, for
    authorization to perform additional surgery on claimant's right
    shoulder was denied on the grounds that it was a new injury and
    that a causal relationship had not been established. Landfried
    nonetheless performed a second shoulder surgery on September 19,
    2012 to repair claimant's torn right shoulder tendon. After
    review by the full Workers' Compensation Board, the Board
    determined that claimant had established a causal connection
    between his earlier work-related injury and his subsequent
    consequential injury. The Board upheld the award of workers'
    compensation benefits to claimant for the period following his
    second surgery based upon evidence that he had a continuing
    causally related temporary total disability. The employer and
    its workers' compensation carrier now appeal.
    Whether claimant's subsequent reinjury and resulting
    disability consequentially arose from injuries that he sustained
    in the January 2012 work-related accident was a factual issue for
    the Board to resolve, and its determination will not be disturbed
    provided that it is supported by substantial evidence (see Matter
    of Senecal v Bendix, 29 AD3d 1232, 1233 [2006]; Matter of Wallace
    v Oswego Wire, Inc., 29 AD3d 1057, 1058 [2006]; Matter of Johnson
    v OCM BOCES, 13 AD3d 707, 708 [2004]; see also Matter of Caezza v
    Via Health, 111 AD3d 1033, 1034 [2013]). Landfried testified
    that while claimant's original shoulder tear had been recovering
    well prior to the reinjury and the repair of that original
    rotator cuff tear "held together" after his July 2012 stumbling
    incident, the resulting new tear was an extension of the original
    tear. Landfried, who observed the tears to claimant's shoulder
    during both surgeries, stated that the two tears overlapped and
    opined that the second tear was an exacerbation of the original
    -3-                521670
    tear and preexisting injury, and that the second tear and surgery
    were causally related to the first injury. While the carrier's
    consultant reached a somewhat contrary conclusion, the Board
    discounted that opinion because it failed to address the facts
    that the tears overlapped and the second tear was an extension of
    the original tear. Significantly, the carrier's consultant did
    not review any of claimant's medical records following the first
    surgery and prior to the reinjury in forming his opinion
    regarding causation. According appropriate deference to the
    Board's resolution of the conflicting medical evidence, we find
    that substantial evidence supports its determination that
    claimant established the requisite causal connection between his
    work-related injury and his subsequent consequential injury, and
    we decline to disturb it (see Matter of Wilson v Yonkers
    Raceway/Empire City, 126 AD3d 1260, 1261 [2015]; Matter of
    Malerba v Ameron Global, Inc., 117 AD3d 1302, 1303 [2014]).
    We further find that, notwithstanding that the second
    surgery was not authorized, the award to claimant for workers'
    compensation benefits at the rate for a temporary total
    disability for the period after the reinjury is fully supported
    by the medical records of Landfried for that period, which
    consistently reflect that claimant suffered such a consequential
    disability. In addition, the record does not indicate that the
    carrier's September 12, 2012 denial of authorization for the
    second surgery was "based on a conflicting second [medical]
    opinion" (Workers' Compensation Law § 13-a [5]), as the carrier's
    consultant did not perform an independent medical exam until
    October 10, 2012.
    Peters, P.J., Lahtinen, Garry and Mulvey, JJ., concur.
    -4-                  521670
    ORDERED that the decision is affirmed, without costs.
    ENTER:
    Robert D. Mayberger
    Clerk of the Court
    

Document Info

Docket Number: 521670

Citation Numbers: 139 A.D.3d 1294, 32 N.Y.S.3d 374

Judges: Clark, Peters, Lahtinen, Garry, Mulvey

Filed Date: 5/19/2016

Precedential Status: Precedential

Modified Date: 11/1/2024