The parties requested the Division to determine:
- whether Ralph Scott sustained an accident, series of accidents or occupational disease in Jackson County, Missouri;
- what is the nature and extent of Ralph Scott's permanent partial disability; and
- whether Ralph Scott is entitled to future medical treatment.
Ralph Scott is a 62-year-old former maintenance supervisor for Modern Maintenance. Scott was required to make sure the cleaning crews were performing correctly and assists with cleaning and maintenance if necessary. Scott's job duties required him to walk on concrete floors all day. Scott frequently climbed stairs and was required to squat occasionally in performance of his job duties.
In 2000 Scott noticed he had problems with his right knee. Scott's knee began to hurt and swell. Scott sought medical treatment at Truman Medical Center. Scott was diagnosed with arthritis, provided a knee brace and was advised to limit occupational activities. Scott eventually underwent arthroscopic knee surgery on August 15, 2000. Scott was advised he had significant arthritis and would require a total knee replacement. Scott was released to return to work in October 2000. Scott returned to work until May 2001 when he took leave to care for his ill wife. Scott did not return to work for Modern Maintenance after May 2001.
Scott said during the period of time between the surgery and May 2001, his knee continued to deteriorate. Scott could not identify any specific trauma or incident after his return to work. Scott said the constant working, stair climbing, and standing on concrete floors aggravated his ongoing right knee symptoms.
Scott filed a claim for compensation against the same Employer in 2000 for a right knee injury. That claim was settled on February 26, 2004 for 7.5 percent disability.
Dr. Truett Swaim evaluated Scott on July 10, 2001 for Scott's January 12, 2000 injury. In that report Swaim attributes Scott's occupational activities as a substantial contributing factor to Scott's development of arthritis and his need for surgery in August 2000. Swaim believes Scott's condition would deteriorate and opined that he is a "candidate for a total knee replacement in the future." Swaim assessed 40 percent permanent partial disability to Scott's right knee attributable to his 2000 injury and places Scott at maximum medical improvement. This examination was conducted six weeks after the alleged aggravation of his knee condition ending with his last day of work on May 31, 2001.
Dr. Prostic opined in December 2004 that Scott had no evidence of work injury after his return to work in October 2000 until his employment ended in May 2001.
Dr. Stuckmeyer in August 2004 acknowledged Scott's arthritis condition and attributes its development to Scott's work activities. Stuckmeyer's findings including diagnosis, treatment and history of complaints are almost identical to the ones set forth by Dr. Swaim in July 2001 in reference to Scott's January 12, 2000 date of injury. Dr. Stuckmeyer attributes 50 percent permanent partial disability to Scott's right knee with 7.5 percent preexisting.
Scott has failed to demonstrate an accident, series of accidents or occupational disease referable to a May 31, 2001 date of injury. All records and reports point to the problems as directly related to occupational activities in the 2000 claim for compensation, which was settled in February 2004.
Accordingly, Scott's claim for compensation is denied.
| Date: | Made by: |
| Paula A. McKeon <br> Administrative Law Judge <br> Division of Workers' Compensation |
A true copy: Attest:
Division of Workers' Compensation