Reed Shaffer Construction and Donegal Mutual Ins. Co. v. G. Smith (WCAB) ( 2022 )


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  •            IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Reed Shaffer Construction and      :
    Donegal Mutual Insurance Company,  :
    Petitioners      :
    :
    v.                      :
    :
    Glynn Smith (Workers’ Compensation :
    Appeal Board),                     :             No. 1003 C.D. 2021
    Respondent         :             Submitted: March 4, 2022
    BEFORE:       HONORABLE ANNE E. COVEY, Judge
    HONORABLE MICHAEL H. WOJCIK, Judge
    HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION BY
    JUDGE COVEY                                               FILED: July 6, 2022
    Reed Shaffer Construction and Donegal Mutual Insurance Company
    (collectively, Employer) petition this Court for review of the Workers’
    Compensation (WC) Appeal Board’s (Board) August 23, 2021 order affirming the
    WC Judge’s (WCJ) April 7, 2020 decision that denied Employer’s Petition to
    Suspend Compensation Benefits (Suspension Petition).1 The sole issue before this
    Court is whether the WCJ erred by denying the Suspension Petition despite the
    evidence that Glynn Smith (Claimant) sustained a 50% loss of use of three right hand
    fingers without any disability separate and apart from those three injured fingers.
    After review, this Court affirms.
    1
    Section 413 of the Act of June 2, 1915, P.L. 736 (Act), as amended, 77 P.S. § 772,
    authorizes a WCJ to suspend WC benefits upon proof that an injured employee’s disability has
    temporarily or finally ceased.
    On March 28, 2018, Claimant sustained lacerations to his right middle,
    ring, and small fingers during the course and scope of his employment with
    Employer as a full-time carpenter.2 On April 5, 2018, Employer issued a Notice of
    Temporary Compensation Payable (NTCP) acknowledging the March 28, 2018
    injury as “[l]aceration [[c]ut, scratches, abrasions, superficial wounds, calluses,
    wound by tearing],” and began paying Claimant wage loss benefits at a weekly rate
    of $512.50. Reproduced Record (R.R.) at 72a; see also R.R. at 73a. Thereafter, the
    NTCP converted to a Notice of Compensation Payable.
    On March 5, 2019, Employer filed the Suspension Petition, therein
    alleging that, since Claimant suffered specific loss of use of only 50% of his right
    third, fourth, and fifth fingers, without any injuries or disabilities separate and apart
    from those three injured digits, Employer was only responsible for paying 58 weeks
    of specific loss benefits through May 10, 2019. See R.R. at 4a. Employer also
    requested a supersedeas. See R.R. at 5a.
    The WCJ conducted hearings on April 23 and October 29, 2019. Based
    on evidence presented at the April 23, 2019 hearing, by April 29, 2019 Interlocutory
    Order, the WCJ denied Employer’s supersedeas request.3 See R.R. at 8a-10a. On
    April 7, 2020, the WCJ denied Employer’s Suspension Petition because Employer
    failed to sustain its burden of proving that Claimant suffered a specific loss limited
    to only 50% use of his third, fourth, and fifth digits of his right hand, without injuries
    2
    Claimant had been a carpenter for over 30 years. See Reproduced Record (R.R.) at 22a.
    As of March 28, 2018, he had worked for Employer doing residential and commercial carpentry
    for a little over one year. See id. On that date, while cutting a two-by-four with a table saw, the
    board “kicked back towards [him] and [his] hand kind of just followed the lumber through the saw
    blade.” R.R. at 24a. Claimant is left-handed. See R.R. at 23a.
    3
    On May 7, 2019, the WCJ issued an Interlocutory Order, stating: “After review and
    consideration of the subject matter which is reviewed in correspondence from counsel for
    [Employer] dated April 29, 2019, the denial of the supersedeas request in the context of the pending
    Suspension Petition, as reflected in the Interlocutory Order circulated April 29, 2019, is affirmed.”
    R.R. at 13a.
    2
    separate and apart from his specific loss. See WCJ Dec. at 26. The WCJ found that
    Claimant’s injuries also included ongoing right hand, wrist, and forearm pain that
    rendered him physically incapable of performing his pre-injury job. Employer
    appealed to the Board which affirmed the WCJ’s decision on August 23, 2021.
    Employer appealed to this Court.4
    Employer has been paying Claimant total disability benefits,5 but filed
    the Suspension Petition asserting that, since Claimant’s March 28, 2018 work injury
    was limited to a specific loss of his three digits on his right hand, his WC benefits
    must cease when the amount of benefits Employer has paid equals the amount to
    which Claimant would have been entitled for that specific loss. In this appeal,
    Employer argues that the WCJ erred by denying the Suspension Petition despite
    Employer’s uncontroverted medical evidence that Claimant only sustained a 50%
    loss of use of three right fingers, without any disability separate and apart from those
    three injured fingers.
    Initially, “Section 306 of the [WC] Act (Act),[6] 77 P.S. §§ 511, 512[,]
    513, recognizes three types of disability: total disability, partial disability[,] and
    permanent disability, commonly known as ‘specific loss.’”7 Est. of Harris v.
    4
    On September 15, 2021, Employer filed an application for supersedeas, which the Board
    denied on October 20, 2021. On October 22, 2021, Employer filed a petition for supersedeas in
    this Court that Claimant opposed. Following argument, this Court denied Employer’s petition for
    supersedeas on January 12, 2022. See January 12, 2022 Memorandum and Order.
    “Our review is limited to determining whether the WCJ’s findings of fact were supported
    by substantial evidence, whether an error of law was committed, or whether constitutional rights
    were violated.” Pierson v. Workers’ Comp. Appeal Bd. (Consol Pa. Coal Co. LLC), 
    252 A.3d 1169
    , 1172 n.3 (Pa. Cmwlth.), appeal denied, 
    261 A.3d 378
     (Pa. 2021).
    5
    The Court observes that the NTCP does not reference a specific loss, see R.R. at 72a-73a,
    and there does not appear to have been a prior ruling that Claimant sustained a specific loss of use
    of his right third, fourth, and fifth fingers.
    6
    Act of June 2, 1915, P.L. 736, 77 P.S. §§ 1-1041.4, 2501-2710.
    7
    “[T]he term ‘disability’ is a term of art in the [WC] context. Generally, ‘disability’ is
    synonymous with loss of earning power resulting from a work-related injury.” Whitfield v.
    3
    Workers’ Comp. Appeal Bd. (Sunoco, Inc. & ESIS/SIGNA), 
    845 A.2d 239
    , 241 (Pa.
    Cmwlth. 2004) (footnotes omitted). “‘Specific loss’ does not appear in the Act; it is
    the term popularly used to describe the disability payments to be made where a
    claimant has suffered a permanent injury.” 
    Id.
     at 242 n.6. “A specific loss is either
    (1) the loss of a body part by amputation or (2) the permanent loss of use of an
    injured body part for all practical intents and purposes.”8 Miller v. Workers’ Comp.
    Appeal Bd. (Wal-Mart), 
    44 A.3d 726
    , 728 (Pa. Cmwlth. 2012) (quoting Jacobi v.
    Workers’ Comp. Appeal Bd. (Wawa, Inc.), 
    942 A.2d 263
    , 264 n.1 (Pa. Cmwlth.
    2008)).
    Section 306(c) of the Act provides a schedule to compensate injured
    employees for specific losses. See 77 P.S. § 513. Because “specific loss benefits
    are recognized as compensation ‘for the loss of use of designated bodily members
    rather than for general loss of earning power,’ Turner v. Jones & Laughlin Steel
    Corp[.], . . . 
    389 A.2d 42
    , 43 ([Pa.] 1978) (emphasis in original),” they “are payable
    without regard to whether the permanent injury has actually caused a wage loss.”
    Allegheny Power Serv. Corp. v. Workers’ Comp. Appeal Bd. (Cockroft), 
    954 A.2d 692
    , 702 (Pa. Cmwlth. 2008).
    Workers’ Comp. Appeal Bd. (Tenet Health Sys. Hahnemann LLC), 
    188 A.3d 599
    , 612 (Pa.
    Cmwlth. 2018).
    8
    A specific loss requires more than just limitations upon an injured
    worker’s occupational activities; a loss of use for all practical intents
    and purposes requires a more crippling injury than one that results
    in a loss of use for occupational purposes. However, it is not
    necessary that the injured body part be one hundred percent useless
    in order for the loss of use to qualify as being for all practical intents
    and purposes.
    Miller v. Workers’ Comp. Appeal Bd. (Wal-Mart), 
    44 A.3d 726
    , 728 (Pa. Cmwlth. 2012) (quoting
    Jacobi v. Workers’ Comp. Appeal Bd. (Wawa, Inc.), 
    942 A.2d 263
    , 267-68 (Pa. Cmwlth. 2008)).
    Evidence necessary to prove that a loss is permanent for all intents and purposes “hinges on the
    findings of fact in each case, including those regarding credibility, the degree of the injury, and
    the degree to which a claimant may continue to use the body part.” Kemps v. Steets (Workers’
    Comp. Appeal Bd.), 
    257 A.3d 1271
    , 1278 (Pa. Cmwlth. 2021).
    4
    Moreover,
    [i]t is well established that in matters involving specific
    loss claims, a claimant who sustains an injury that is
    compensable under Section 306(c) of the Act . . . (relative
    to specific loss calculations), is not [also] entitled to
    compensation beyond that specified in that section[,] even
    though he may be totally disabled by the injury.
    Pocono Mountain Sch. Dist. v. Workers’ Comp. Appeal Bd. (Easterling), 
    113 A.3d 909
    , 914 (Pa. Cmwlth. 2015) (quoting Sharon Steel Corp. v. Workers’ Comp. Appeal
    Bd. (Frantz), 
    790 A.2d 1084
    , 1088 (Pa. Cmwlth. 2002)). This is because “[i]njuries,
    including those that result in a loss of earning power, that normally flow from the
    specific loss injuries are considered compensated under specific loss benefits.”
    Lindemuth v. Workers’ Comp. Appeal Bd. (Strishock Coal Co.), 
    134 A.3d 111
    , 121
    (Pa. Cmwlth. 2016).
    However, “[a]n exception to the general rule provides that a claimant
    may also receive benefits for injuries that are separate and distinct from those that
    flow from the specific loss injury.” Kemps v. Steets (Workers’ Comp. Appeal Bd.),
    
    257 A.3d 1271
    , 1277 (Pa. Cmwlth. 2021). Thus, “if a claimant suffers an injury that
    is separate and apart from a specific loss of a body part that results in a loss of earning
    power, a claimant may receive compensation under Section 306(a) of the Act, 77
    P.S. § 511[] (related to total disability), or Section 306(b) of the Act, 77 P.S. § 512[]
    (related to partial disability), in addition to benefits for the specific loss of a body
    part.” Lindemuth, 134 A.3d at 121.
    Here, Employer presented the deposition testimony of orthopedic
    surgeon Steven E. Kann, M.D. (Dr. Kann) in support of its Suspension Petition. Dr.
    Kann conducted an independent medical evaluation (IME) of Claimant on January
    5
    9, 2019. Dr. Kann testified that he reviewed Claimant’s medical records,9 obtained
    Claimant’s history, took right hand X-rays, and physically examined Claimant. See
    R.R. at 173a-175a, 202a-206a. Dr. Kann recalled Claimant confirming at the IME
    that his work injury was limited to the third, fourth, and fifth digits of his right hand,
    and complaining of stiffness and decreased range of motion in those fingers, but
    Claimant did not report any complaints about his right hand or wrist. See R.R. at
    173a-174a, 187a.
    During his examination, Dr. Kann observed that Claimant had limited
    range of motion in the third, fourth, and fifth fingers of his right hand, full range of
    motion in his right thumb and index finger, and normal nerve function of all five
    digits. See R.R. at 175a, 184a-185a. Claimant’s X-rays confirmed healed fractures
    and diffuse preexisting arthritis in Claimant’s right hand, and Dr. Kann determined
    that Claimant’s grip was 60 pounds in his right hand (as opposed to 120 pounds in
    his left hand).10 See R.R. at 175a-176a, 185a-187a. Dr. Kann confirmed that
    Claimant has “arthrofibrosis, which means stiffness of the joints, and adhesions of
    the extensor tendons” due to his March 28, 2018 work injury, which has “resulted in
    permanent stiffness of digits 3, 4[,] and 5 of the right hand.” R.R. at 176a; see also
    R.R. at 182a, 188a, 204a. Dr. Kann opined that Claimant could frequently lift/carry
    up to 25 pounds (and occasionally up to 50 pounds) with both hands, Claimant is
    able to “rarely” climb ladders, R.R. at 206a, Claimant “could not lift greater than 15
    pounds with [his] right hand[, and his] right hand could be used for grasping of large
    objects, but he would not be able to manipulate small objects with the right hand.”
    9
    Dr. Kann subsequently reviewed Rafael Diaz-Garcia, M.D.’s January 7, 2019 report, and
    Stephen J. Thomas, M.D.’s April 10, 2019 report, that were not available to Dr. Kann at the IME.
    See R.R. at 207a-208a. He declared that neither report altered his conclusion. See R.R. at 180a-
    181a, 207a-208a.
    10
    Dr. Kann explained that a person’s non-dominant hand (here, the right) will typically
    have 80% of the strength of the dominant hand (here, the left). See R.R. at 176a.
    6
    R.R. at 177a; see also R.R. at 178a, 182a, 206a. Dr. Kann stated that further
    treatment will not change Claimant’s condition because his right hand condition will
    never resolve. See R.R. at 182a, 188a-189a. Notwithstanding, Dr. Kann concluded
    that Claimant “is capable of working 40 hours a week plus overtime in a modified[-
    ]duty capacity utilizing [his] right hand as a helper hand.” R.R. at 161a.
    Dr. Kann testified that patients who suffer the types of injuries Claimant
    did typically experience resulting stiffness. See R.R. at 174a. He declared in his
    IME report: “It is my opinion that [Claimant’s] injury was isolated to the [third],
    [fourth], and [fifth] digit[s,] and there is no injury separate and apart, thus there is
    no injury to the right wrist or the remainder of the hand that would be attributable to
    the isolated table saw injury to digits 3, 4 and 5.” R.R. at 206a. By February 12,
    2019 letter in response to Employer’s inquiry “[w]hether or not [Claimant] had
    suffered a specific loss of use either 100% or 50% of digits 3, 4 and 5, and whether
    there was any injury separate and apart in regard to the right hand[,]” Dr. Kann
    confirmed, with a reasonable degree of medical certainty:
    Given the fact that [Claimant] was able to achieve 60
    pounds of grip strength in the right hand and that digits 3,
    4[,] and 5 were neurovascularly intact with normal
    sensation and normal canillary refill, but [Claimant] had a
    profound deficit in active and passive range of motion of
    digits 3, 4[,] and 5, it is my opinion that [Claimant] has
    lost 50% use of digits 3, 4[,] and 5 of the right hand and
    this 50% loss of use is permanent. In addition, it is my
    opinion there is no injury separate and apart.
    R.R. at 207a. Dr. Kann reiterated that opinion in his deposition. See R.R. at 178a-
    180a.
    Claimant testified that, after he was injured on March 28, 2018, he was
    transported to the Jameson Hospital emergency room where he was told to go to
    Allegheny General Hospital in Pittsburgh, where Rafael Diaz-Garcia, M.D. (Dr.
    7
    Diaz-Garcia) conducted extensive repair surgery, including inserting hardware in his
    middle and ring fingers, the next day. See R.R. at 25a-26a, 74a-94a. Claimant
    described that he underwent physical therapy thereafter. See R.R. at 26a-27a, 41a-
    42a. He recalled that Dr. Diaz-Garcia removed the hardware on April 30, 2018, but,
    due to significant tightening and stiffening in his hands, Dr. Diaz-Garcia performed
    a second surgical procedure on August 3, 2018, after which Claimant again
    underwent intensive physical therapy until October or November 2018. See R.R. at
    27a-28a, 36a, 40a-43a, 75a, 78a-80a.          On January 7, 2019, Dr. Diaz-Garcia
    discharged Claimant from his care with a right hand 20-pound lifting restriction,
    reporting: “It is unsafe for [Claimant] to climb a ladder. He cannot return to the
    previous company he was working for.” R.R. at 85a; see also R.R. at 28a-29a, 37a,
    43a-44a.
    Claimant explained that his counsel referred him to orthopedic surgeon
    Stephen J. Thomas, M.D. (Dr. Thomas), who examined Claimant on April 10, May
    1, and June 26, 2019. See R.R. at 36a-37a, 68a, 95a-100a, 140a-141a. Claimant
    further recalled Dr. Thomas referring him to Orientee Ditano, M.D. (Dr. Ditano),
    who specializes in complex hand surgery, for a second opinion. See R.R. at 112a-
    113a. Claimant described that Dr. Ditano examined him on August 20, 2019, and
    ordered a computerized tomography (CT) scan of his right hand. See R.R. at 63a,
    68a. According to Dr. Ditano’s report, Claimant had significant stiffness in his third,
    fourth, and fifth fingers and he could not make a full fist. See R.R. at 166a. Dr.
    Ditano concluded that Claimant “is disabled[,]” and he did not believe that any
    additional surgical intervention would make Claimant’s situation better.            Id.
    Claimant asserted that Dr. Ditano did not release him to return to his pre-injury job.
    See R.R. at 64a.
    Claimant displayed his hand for the WCJ, who observed that
    Claimant’s small and ring fingers were in a permanently bent position and there was
    8
    significant swelling in his right ring finger. See WCJ Dec. at 5; see also R.R. at 29a-
    30a, 64a. Claimant pointed out that his laceration extends from the base of his small
    finger at his hand to the top of his middle finger. See R.R. at 67a-68a. Claimant
    demonstrated that severe stiffness and range of motion problems in all three
    damaged fingers allow him only to make a half fist, and he cannot touch his injured
    fingers to his right palm. See WCJ Dec. at 5; see also R.R. at 30a-31a, 34a, 64a-65a.
    Claimant described that he experiences occasional tingling in his injured fingers, but
    that he has “pretty severe stiffness” in those fingers that extends to the corner of his
    hand at his wrist. R.R. at 33a; see also R.R. at 34a, 64a.
    Claimant articulated that his pre-injury job consisted of all phases of
    construction, including sawing, cutting, lifting, and regularly climbing ladders. See
    R.R. at 22a-23a. He also used manual and electrical tools, including saws, screw
    guns, hammers, and claws. See R.R. at 23a. In addition, Claimant had to lift, move,
    and carry various items, such as full drywall buckets, plywood, drywall, and heavier
    lumber like two-by-tens and two-by-twelves. See R.R. at 22a. Claimant pronounced
    that his injuries have rendered him unable to grasp and use a hammer, screwdriver,
    and other objects (boxes, etc.), and he can no longer safely climb a ladder. See R.R.
    at 32a, 44a-45a, 64a-65a. Claimant stated that he has not worked since March 28,
    2018. See R.R. at 34a, 62a. He represented that the condition of his hand did not
    change from the April 2019 WCJ hearing to the October 2019 WCJ hearing; he still
    has stiffness and a lack of range of motion that extends from his wrist across the
    back of his hand, and no doctor has released him to return to his pre-injury carpentry
    job. See R.R. at 35a, 64a-66a. Claimant declared that he cannot return to his pre-
    injury job. See R.R. at 66a.
    Claimant acknowledged that Dr. Diaz-Garcia’s surgical intervention
    was only for his three fingers, not his hand or wrist, and Dr. Diaz-Garcia’s treatment
    focused on the three fingers. See R.R. at 39a-40a, 43a. He explained that physical
    9
    therapy extended to an uninjured finger next to the three injured ones because it, too,
    had gotten stiff due to immobilization of the other three. See R.R. at 38a-39a.
    Claimant also presented the deposition testimony of Dr. Thomas, who
    first examined Claimant on April 10, 2019. See R.R. at 97a-100a. At that time,
    Claimant complained to Dr. Thomas of stiffness in all of the fingers of his right hand
    (not his thumb), and decreased range of motion in the joints of his index and long
    fingers on that hand.11 See R.R. at 107a, 109a-110a. Dr. Thomas also observed that
    Claimant had decreased right hand grip strength. See R.R. at 119a, 121a-122a. Dr.
    Thomas obtained an imaging study of Claimant’s right hand that revealed
    deformities of the third and fourth fingers and mild, preexisting arthritis. See R.R.
    at 110a. Dr. Thomas reported Claimant’s injury as a “[c]rushing injury of right wrist
    and hand,” R.R. at 99a, because “the bone [wa]s broken, the skin [wa]s crushed, the
    soft tissues [we]re crushed, [and] the extensor tendons [we]re not only cut but they
    [were] macerated from the pressure going through the hand . . . [.]” R.R. at 117a;
    see also R.R. at 112a-113a. Dr. Thomas prescribed anti-inflammatory medication
    and cream to help decrease Claimant’s swelling and resultant discomfort, and
    directed him to return in three weeks. See R.R. at 110a-111a.
    Dr. Thomas recalled that Claimant’s complaints and condition were
    unchanged at Claimant’s May 1, 2019 visit, and noted that Claimant had right hand
    stiffness. See R.R. at 95a-96a, 111a. He recollected that Claimant had not obtained
    the anti-inflammatory medication or cream because “[Employer was] not paying for
    it[,]” R.R. at 111a, so he gave Claimant a heating pad to provide Claimant relief and
    to decrease swelling. See R.R. at 112a.
    Dr. Thomas summarized that, during Claimant’s follow-up visit on
    June 26, 2019, Claimant reported the heating pad had afforded him some relief, but
    11
    Dr. Thomas acknowledged that his April 10, 2019 report erroneously referenced that
    Claimant was right-handed. See R.R. at 99a, 108a.
    10
    he was still unable to grasp a hammer or other tools necessary to perform his pre-
    injury job. See R.R. at 113a, 140a-141a. Dr. Thomas referred Claimant to Dr.
    Ditano, who evaluated Claimant on July 11, 2019, recommended a CT scan of
    Claimant’s right hand12 to consider whether Claimant would benefit from an MCP
    joint release13 of his third, fourth, and fifth fingers, and Dr. Ditano “was going to
    keep [Claimant] off work.” R.R. at 114a; see also R.R. at 112a-115a, 119a, 122a-
    123a, 142a-143a. Dr. Thomas did not examine Claimant again after referring
    Claimant to Dr. Ditano. See R.R. at 119a, 123a.
    Dr. Thomas acknowledged that Claimant did not mention his right wrist
    on Dr. Thomas’s intake report, and that his treatment records did not reference right
    wrist or hand fractures or abnormalities. See R.R. at 121a, 123a, 126a. However,
    Dr. Thomas opined:
    The force that goes through your fingers with a radial saw
    and a two-by-four, to cause that amount of damage, puts
    an excessive amount of pressure through the wrist and the
    forearm, let alone the extensor tendons that were repaired
    and revised by [Claimant’s] original hand surgeon;
    starting at the elbow, they go by the wrist, and into the
    hand. So they’re shortened at the fingers, they’re surely
    irritated by the wrist. So I don’t think a wrist complaint is
    uncommon at all.
    R.R. at 116a-117a.
    Dr. Thomas agreed with Dr. Kann’s assessment that Claimant lost 50%
    of the use of this third, fourth, and fifth fingers on his right hand, but disagreed that
    Claimant did not have an injury separate and apart from the three digits. See R.R. at
    117a-118a. Rather, Dr. Thomas concluded that, “by definition, with the amount of
    12
    The CT scan results were not available at the time of Dr. Thomas’s deposition. See R.R.
    at 122a.
    13
    Dr. Thomas described that MCP joint release surgery consists of “limited incisions where
    [the surgeon] release[s] the adhesions or the scar tissue around the joints to increase motion.” R.R.
    at 114a; see also R.R. at 115a.
    11
    force that it takes to create this trauma, there’s more than just those fingers that are
    injured.” R.R. at 118a. Accordingly, Dr. Thomas declared with a reasonable degree
    of medical certainty that Claimant
    had a crush injury to his hand which involved the third,
    fourth, and fifth fingers with resulting [] pain in the
    wrist/forearm area, because the extensor tendons that are
    involved in the hand start at the lateral aspect of the
    humeral epicondyle and become shortened at the hand,
    and then bother the entire wrist and arm.
    R.R. at 119a; see also R.R. at 120a, 123a-124a.
    When asked: “Doctor, looking through your notes, is it fair to say that
    you’re [sic] diagnosis throughout your treatment has been a crush injury of the right
    wrist and hand?” Dr. Thomas responded: “Yes.” R.R. at 119a; see also R.R. at 96a,
    99a, 141a. He confirmed that, although his three examinations focused primarily on
    Claimant’s three damaged fingers, they also included Claimant’s right wrist and
    hand. See R.R. at 96a, 99a, 124a, 141a. Dr. Thomas further agreed with Dr. Kann
    that Claimant could use his right hand as a helper hand. See R.R. at 125a.
    At the October 29, 2019 WCJ hearing, the WCJ admitted into evidence
    Dr. Ditano’s August 20, 2019 report, in which Dr. Ditano summarized that Claimant
    still experienced stiffness in his injured fingers and could not make a full fist, and
    diagnosed Claimant with right hand stiffness and crushing injuries to his right wrist
    and hand. See R.R. at 165a-166a, 218a. Dr. Ditano concluded:
    At this point, [Claimant] is pain free and he is disabled. I
    don’t believe that surgical treatment would make his issue
    much better. He may get some better motion at the MCP
    joint, but it wouldn’t do more than that. I told [Claimant]
    we can given [sic] it a try if he would like to not have
    surgery at this point. Follow up with me if he changes his
    mind.
    R.R. at 166a.
    12
    Based on the record evidence, the WCJ made the following relevant
    finding:
    1. After review and consideration of the testimony and
    evidence of record, along with the arguments of counsel
    for the respective parties, that which has been accepted
    supports the denial of the Suspension Petition. The
    testimony and evidence supportive of this determination
    follows[:]
    The most compelling reasons supporting the denial of
    [Employer’s] request [sic] relief are [Claimant’s] age of
    61 years (as reported during the course of the litigation on
    the Suspension Petition), and his occupation as a
    carpenter. Work as a carpenter requires the extensive use
    of one’s hands, inclusive of relatively fine (neurological)
    motor skills. Given the nature and extent of the injury to
    [Claimant’s] hand, his contention that he continues to
    sustain disability separate and apart to the specific loss of
    use of the digits involved is accepted, and is supported by
    the considerations reviewed above, as well as the
    testimony of Dr. [] Thomas, his treating orthopod. Dr.
    Thomas indicated that [Claimant] would have difficulty
    grasping a hammer, and indicated that [Claimant] has
    continued to remain subject to stiffness and pain in the
    injured area of his hand, as well as up into his wrist and
    arm. As such, Dr. Thomas concluded that [Claimant] has
    continued to remain disabled from his pre-injury
    employment, as he does not have the ability to grasp a
    hammer or other tool[s] needed to perform his job duties,
    and also indicated that [Claimant’s] pain and stiffness has
    extended considerably beyond the injured area of his hand,
    up into his wrist and arm, and these conclusions comport
    very reasonably with the nature and extent of [Claimant’s]
    injury to his right hand. Dr. Thomas’[s] opinions and
    conclusions are supported by his clinical findings, as
    described by him in his deposition testimony. These
    include his clinical description of the injuries sustained to
    [Claimant’s] right hand, as well as medical and surgical
    treatment which has followed.
    Dr. [] Kann, [Employer’s] consulting orthopod, has
    indicated that he believes [Claimant] is only subject to the
    loss of 50% of the third, fourth, and fifth digits of his right
    13
    hand, thus supporting [Employer’s] contention that
    [Claimant] has sustained loss of use of these digits in this
    amount. Dr. Kann’s conclusion is certainly reasonable,
    but has been deemed less credible and persuasive than the
    opinions and conclusions of Dr. Thomas, again, for the
    reasons reviewed by him in his deposition testimony, as
    well as those reviewed above.
    WCJ Dec. at 25-26 (R.R. at 233a-234a).
    The WCJ summarized:
    Claimant’s credible testimony and the medical evidence of
    record demonstrate that Claimant’s injury goes beyond
    just his three fingers. That evidence shows that Claimant’s
    crush injury involves an injury separate and apart going
    down into Claimant’s hand and wrist. As such, Claimant
    suffered a work injury on March 28, 2018[,] separate and
    apart from the specific loss, and as such, the Suspension
    Petition must fail.
    WCJ Dec. at 22 (R.R. at 230a).
    The WCJ concluded:
    [Employer] has failed to sustain its burden of proof in the
    context of its Suspension Petition . . . , and accordingly
    said [Suspension P]etition has been denied.
    More specifically, [Employer] has failed to sustain its
    burden of establishing that [Claimant] has experienced
    specific loss of use only of 50% of his third, fourth, and
    fifth digits of his right hand, as the testimony of [Claimant]
    has been deemed credible, and accepted, as it comports
    very reasonably with the nature and extent of the injuries
    sustained by him, as well as the opinions and conclusions
    of Dr. Thomas[.]
    WCJ Dec. at 26 (R.R. at 234a).
    The law is well established:
    The WCJ is the fact[-]finder, and it is solely for the
    WCJ . . . to assess credibility and to resolve conflicts in the
    evidence. Neither the Board nor this Court may reweigh
    14
    the evidence or the WCJ’s credibility determinations.[14]
    In addition, it is solely for the WCJ, as the fact[-]finder, to
    determine what weight to give to any evidence. . . . As
    such, the WCJ may reject the testimony of any witness in
    whole or in part, even if that testimony is uncontradicted.
    W. Penn Allegheny Health Sys. v. Workers’ Comp. Appeal Bd. (Cochenour), 
    251 A.3d 467
    , 475 (Pa. Cmwlth. 2021) (quoting Hawbaker v. Workers’ Comp. Appeal
    Bd. (Kriner’s Quality Roofing Servs. & Uninsured Emp. Guar. Fund), 
    159 A.3d 61
    ,
    69 (Pa. Cmwlth. 2017) (internal citations, quotations, and brackets omitted)).
    Moreover,
    “[f]or purposes of appellate review, it is irrelevant whether
    there is evidence to support contrary findings; if
    substantial evidence supports the [fact-finder]’s necessary
    findings, those findings will not be disturbed on
    appeal.”[15] Verizon [Pa.] Inc. v. Workers’ Comp[.] Appeal
    [Bd.] (Mills), 
    116 A.3d 1157
    , 1162 (Pa. Cmwlth. 2015).
    When “performing a substantial evidence analysis, this
    14
    Specifically, “Section 422(a) [of the Act, 77 P.S. § 834,] does not
    permit a party to challenge or second-guess the WCJ’s reasons for
    credibility determinations. [Thus, u]nless made arbitrarily or
    capriciously, a WCJ’s credibility determinations will be upheld on
    appeal.”[FN]16 Pa. Uninsured Emp’rs Guar. Fund v. Workers’
    Comp. Appeal Bd. (Lyle), 
    91 A.3d 297
    , 303 (Pa. Cmwlth. 2014)
    (quoting Dorsey v. Workers’ Comp. Appeal Bd. (Crossing Constr.
    Co.), 
    893 A.2d 191
    , 195 (Pa. Cmwlth. 2006)).
    Capricious disregard “occurs only when the fact-finder
    [FN]16
    deliberately ignores relevant, competent evidence.”
    Williams v. Workers’ Comp. Appeal Bd. (USX Corp.-
    Fairless Works), 
    862 A.2d 137
    , 145 (Pa. Cmwlth. 2004).
    Capricious disregard, by definition, does not exist where, as
    here, the WCJ expressly considered and rejected the
    evidence. 
    Id.
    Kimberly Clark Corp. v. Workers’ Comp. Appeal Bd. (Bromley), 
    161 A.3d 446
    , 462 (Pa. Cmwlth.
    2017).
    15
    “Substantial evidence is such relevant evidence as a reasonable mind might accept as
    adequate to support a conclusion.” Obimak Enter. v. Dep’t of Health, 
    200 A.3d 119
    , 126 (Pa.
    Cmwlth. 2018) (quoting B.B. Kim’s Mkt., Inc. v. Dep’t of Health, Div. of Women, Infants & Child.
    (WIC), 
    762 A.2d 1134
    , 1135 (Pa. Cmwlth. 2000)).
    15
    Court must view the evidence in a light most favorable to
    the party who prevailed before the fact-finder.” WAWA v.
    Workers’ Comp[.] Appeal [Bd.] (Seltzer), 
    951 A.2d 405
    ,
    408 (Pa. Cmwlth. 2008). Further, when determining
    whether substantial evidence exists to support a finding of
    fact, this Court must give to the party in whose favor the
    appealed decision was decided “the benefit of all
    inferences that can logically and reasonably be drawn
    from the evidence.” B.J.K. v. Dep[’t] of Pub[.] Welfare,
    
    773 A.2d 1271
    , 1276 (Pa. Cmwlth. 2001).
    Obimak Enter. v. Dep’t of Health, 
    200 A.3d 119
    , 126 (Pa. Cmwlth. 2018). In the
    instant matter, the Board affirmed the WCJ’s decision on the basis that substantial
    record evidence supported the WCJ’s factual findings. See Board Op. at 4-6 (R.R.
    at 250a-252a).
    In order to succeed on its Suspension Petition, Employer had to prove
    that Claimant’s work injury was limited to the 50% loss of use of the third, fourth,
    and fifth digits of his right hand. The WCJ concluded, based on the record evidence
    he deemed credible, that Employer failed to meet its burden. Employer’s appeal
    essentially is an attack on the WCJ’s credibility determinations. Because the WCJ’s
    credibility determinations were clearly supported by the record, this Court may not
    disturb them. See Verizon Pa. Inc.; see also Pocono Mountain Sch. Dist. Moreover,
    giving Claimant “the benefit of all inferences that can logically and reasonably be
    drawn from the evidence[,]” Obimak Enter., 200 A.3d at 126 (quoting B.J.K., 
    773 A.2d at 1276
    ), as we must, this Court holds that substantial evidence supported the
    WCJ’s findings that Claimant suffered disability due to the loss of use of his right
    wrist and hand separate and apart from his accepted work injuries. See Pocono
    Mountain Sch. Dist. Accordingly, the WCJ did not err by denying Employer’s
    Suspension Petition.
    16
    Based on the foregoing, the Board’s order is affirmed.
    _________________________________
    ANNE E. COVEY, Judge
    Judge Fizzano Cannon and Judge Dumas did not participate in the decision in this
    matter.
    17
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Reed Shaffer Construction and      :
    Donegal Mutual Insurance Company,  :
    Petitioners      :
    :
    v.                      :
    :
    Glynn Smith (Workers’ Compensation :
    Appeal Board),                     :       No. 1003 C.D. 2021
    Respondent         :
    ORDER
    AND NOW, this 6th day of July, 2022, the Workers’ Compensation
    Appeal Board’s August 23, 2021 order is affirmed.
    _________________________________
    ANNE E. COVEY, Judge