Moore v. Venture Corp.

Decision Date30 January 2015
Docket Number110,883.
Citation51 Kan.App.2d 132,343 P.3d 114
PartiesShawn MOORE, Appellee, v. VENTURE CORPORATION and Travelers Indemnity Co., Appellants.
CourtKansas Court of Appeals

Vincent A. Burnett and Dallas L. Rakestraw, of McDonald Tinker, of Wichita, for appellants.

Melinda G. Young, of Bretz & Young, of Hutchinson, for appellee.

Before BUSER, P.J., LEBEN and STANDRIDGE, JJ.

Opinion

LEBEN, J.

Shawn Moore injured his knee at his road-construction job, either when he stepped off a backhoe or shortly thereafter when walking around the backhoe. An administrative law judge denied his request for workers compensation, finding that his injury was the result of walking, which she considered a normal activity of day-to-day living not covered by the Workers Compensation Act. The Workers Compensation Appeals Board reversed, finding that Moore's injury arose out of and in the course of his employment because stepping down and walking around the backhoe were part of a single job task—operating a backhoe—that was not a normal activity of day-to-day living.

On appeal, we look at the overall context of the injury and see if the activity that resulted in it was connected to or inherent in performing the job. See Bryant v. Midwest Staff Solutions, Inc., 292 Kan. 585, 596, 257 P.3d 255 (2011). Here we find that substantial evidence supported the Board's finding. In this case, operating the backhoe was Moore's job duty, stepping down from and walking around the backhoe was part of the work required to operate the backhoe, and no evidence suggested that Moore's injury happened outside the time frame in which he was operating the backhoe. We therefore affirm the Board's decision that Moore's injury was covered under the Workers Compensation Act and not the result of a normal activity of day-to-day living.

Factual and Procedural Background

Moore worked for Venture Corporation as an equipment operator, running equipment like pavers and backhoes for road construction. Moore spent his workday [d]igging holes, smoothing stuff out, [and] laying asphalt” and was “in and out of” equipment all day.

On October 15, 2011, Moore experienced pain in his right knee while at work. He had not previously had any problems with his knee. Doctors later discovered that he had a torn right meniscus and a torn anterior-cruciate ligament (ACL). Dr. Erik Severud surgically repaired Moore's torn ACL in December 2011.

The parties' arguments are based in part on the statements Moore gave over time about what happened. Later the same month that the events took place, he told Rachel Pratt, a claims adjuster with Travelers Insurance (Venture Corporation's insurance carrier), that he had twisted his knee while walking around a backhoe:

[Pratt]: What happened?
[Moore]: I just twisted my knee.
[Pratt]: And what were you doing?
[Moore]: Walking. I [Inaudible]....
[Pratt]: Where were you coming from?....
[Moore]: ... I was just at work. I was getting off of a backhoe, and I walked around in front of the backhoe and, and that's, it just, I almost hit the ground. It just hurt.
[Pratt]: So you were just ...
[Moore]: And it ...
[Pratt]: ... walking? Did you slip over anything? ...
[Moore]: No, didn't step over anything, didn't step in a hole. I ... don't think that I turned wrong. I, I guess I might've twisted wrong. I don't know.
....“[Pratt]: So, you were just walking? What kind of ground was it?
[Moore]: It was in the grass.
[Pratt]: Grass? So, you were just ...
[Moore]: Yeah.
[Pratt]: ... walking? You got out of the backhoe and you were just walking to go around it, and you had pain in your knee?
[Moore]: Yes.
....
[Pratt]: Okay. So, just to confirm, you were just walking and you had pain in your knee? Now, did you fall to the ground?
[Moore]: No, I, I grabbed hold of the bucket of the backhoe so I didn't hit the ground.”

At a hearing before an administrative law judge on March 11, 2013, Moore said that his knee had popped as he stepped down off the backhoe:

[Moore:] I was getting off a backhoe and as I stepped down off the backhoe just my knee just popped and just hurt.
....
[Moore's attorney:] And were you able to continue to walk on your knee?
[Moore:] Barely. I mean, it—I took two steps and that's when the pain hit me and then there wasn't much walking after that. I kind of limp around.
....
[T]he pain hit me after I got off the backhoe but I felt the pop as my foot hit the ground, but it, you know, took two steps for me to actually feel all the pain.”

The step on the backhoe was about a foot or a foot and a half from the ground.

The parties also rely on statements by medical personnel who treated or examined Moore. On October 17, 2011, Moore saw physician's assistant Phillip Barnes, who worked under Dr. Nathan Knackstedt. Barnes' treatment notes describe the cause of the injury:

“On 10/15/2011, he stated he got down off of a piece of construction equipment and walked around the piece of equipment and then developed acute right knee pain. He denies injuring his leg when he got off of the machine. Stated he felt a pop and it was followed by severe pain in the right knee in the inferomedial region.”

Travelers Insurance denied Moore's claim.

Under the present version of the Workers Compensation Act, an accidental injury is generally covered only if the accident was “the prevailing factor” causing the injury. See K.S.A.2013 Supp. 44–508(f)(2)(B)(ii). Accordingly, the medical opinions of various doctors addressed whether Moore's knee injury was primarily caused by an on-the-job accident.

On December 8, 2011, attorneys representing Venture Corporation and Travelers Insurance sent Dr. Knackstedt—who had never examined Moore—a letter asking him to confirm that Moore's “activity as described of walking around a piece of equipment and develop[ing] acute right knee pain” was not the prevailing factor in Moore's need for medical attention. Dr. Knackstedt and Barnes signed the letter on December 15, 2011, confirming that, in their medical opinions, that activity was not the prevailing factor in Moore's need for medical attention.

In 2012, Dr. Kenneth Jansson performed a court-ordered independent medical examination of Moore. He understood that the injury occurred when Moore stepped off the backhoe and found that the incident was the prevailing factor causing the injury and need for medical treatment:

“I think at this point it is really impossible to do a completely accurate causation evaluation. I think it is very significant that the patient denies any history of previous knee problems prior to the injury on 10/15/2011. It is also significant that all of his symptoms that he experienced, the swelling, the pain, the pop, and the instability, he directly relates by history, to the injury on 10/15/2011.... On the other hand, he presented with a 3+ pivot shift, a 4–10 mm Lachman, and other gross instability, and that is an amount of instability that one would not commonly see with a fresh ACL. I am also a little concerned about these changes I see on the radiographs, if they preceded the surgery, they could be signs of long-term instability. If they are subsequent to the surgery then they could be related to the surgical event itself.
“I think it is in my opinion, far more likely than not, that this ACL injury occurred at the time of the injury on 10/15/2011 and that the procedure should be covered under Workers' Compensation as the prevailing factor.... In my opinion, the need for surgery is precipitated by the patient's symptoms, not just by the pathology. This is also the reason why I support saying that this is in fact, the prevailing factor.”

In August 2012, Dr. Pedro A. Murati examined Moore at the request of Moore's attorney. Dr. Murati found that Moore's “current diagnoses are within all reasonable medical probability a direct result from the work-related injury that occurred each and every working day through 10–12–11 during his employment with Venture Corporation.”

In January 2013, Dr. John Estivo examined Moore at the request of Venture and Travelers. Dr. Estivo found that Moore's incident at work was not the prevailing factor causing the injury and need for medical treatment:

“The patient states to me today that he was simply in the act of walking around a piece of equipment on level ground on 10/15/2011 when he experienced a pop and pain in his right knee.... Based on the history the patient is giving me today, as well as reviewing his medical records, the patient denies having any twisting injury to the right knee. He denies any direct injury at all to the right knee. The typical forces involved resulting in an ACL tear would originate from a pivoting or twisting injury to the knee.... The patient is excessively overweight, and this certainly is a major contributing factor to his knee injury. Considering the fact that this patient did not experience any pivoting or twisting injury to the right knee on 10/15/2011, it would be my medical opinion that the ACL tear to the right knee is not a result of the incident of 10/15/2011. I would agree with Dr. Knackstedt in that the prevailing factor regarding this patient's right knee ACL tear would not be the incident of 10/15/2011.”

At the initial administrative hearing, Judge Pamela J. Fuller denied Moore's claim. She found that Moore's injury occurred while he was walking—an activity of daily living—and that he had a preexisting condition in his knee, thus concluding that Moore had failed to prove his injury arose out of and in the course of his employment and that the accident was the prevailing factor causing his injuries and need for treatment.

Moore appealed to the Workers Compensation Appeals Board. The Board found that Dr. Jansson was the most credible expert witness. It reversed Judge Fuller's denial of workers-compensation benefits, finding that Moore's injury arose out of and in the course of his employment and that the accident at work was the prevailing factor causing the injury. The Board found that the injury occurred when Moore stepped off the...

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