I find that Claimant, Barbara Ketterman, was born on March 19, 1947 and has completed high school, although with poor grades.
Claimant's work history has included various short-term clerical jobs as well as advertisement and real estate sales. Claimant's last employment was with Wood's Supermarket (Employer) where she worked as a cashier. Just prior to working for the Employer, Claimant sold real estate for approximately four years. However, she was not particularly successful at real estate sales and therefore, had to take the job for the Employer as a cashier. Prior to selling real estate, Claimant had spent five years with the Nevada Daily Mail selling advertisements. She described both of her sales jobs as involving a lot of walking and driving.
Claimant's work for Employer as a cashier involved lots of standing, walking, lifting, bending and twisting. In addition to her cashier duties, she was required to do various other job
tasks such as stocking and working outside. Claimant testified that she was able to do all of her work tasks at Wood's Supermarket without limitation. She was not limited physical in any way prior to her April 30, 2007 work injury. She last worked on an unrestricted basis for Employer on April 30, 2007. Following her work injury and prior to her surgeries, with Dr. Hicks, Claimant did work on a light duty basis for Employer.
I find Claimant sustained a work-related accident with Employer on April 30, 2007 in which she fell injuring her right hip, right knee, right ankle and lower back. Prior to April 30, 2007, Claimant had not had any injury to her lower back requiring medical treatment or leaving her with any permanent physical restrictions or disability. Prior to April 30, 2007, Claimant had never suffered an injury to her right hip requiring medical treatment or leaving her with any permanent physical restrictions or disability.
Claimant did have a right knee injury prior to April 30, 2007. In January of 1996, she was pulling on a bag when it popped loose hitting her right calf and knee. She had a small amount of treatment and some studies checking for a blood clot. She did recall some discussion regarding bursitis and the possibility of having a scope done if her symptoms did not resolve. However, her symptoms completely resolved after a couple of years leaving her with no continued complaints or permanent restrictions. Claimant was not limited in any way regarding her right knee and calf after she healed and her symptoms resolved.
Prior to April 30, 2007, Claimant had also suffered an injury to her right ankle. In 2001, she tripped on a step at work spraining her ankle. This injury required about five months of physical therapy. After her treatment ended and her ankle had a chance to heal, she had no ongoing difficulties from the ankle. She was given no permanent restrictions and was not limited in any capacity.
I find that on April 30, 2007 while working for Employer, Claimant tripped on a curb and fell onto the concrete landing on her right side. At the time of her fall, she had excruciating pain in her knee and felt her hip break. Initially, her hip was somewhat painful. After arriving at the hospital and moving around to do x-rays her hip began to hurt severely. Claimant did not notice significant pain in the ankle until approximately six weeks after the fall when the doctor released her to begin bearing weight on her right leg. Her back pain started after she began bearing weight and limping around.
Claimant was initially seen at Cedar County Hospital where x-rays were taken and she was given medication. She was then transferred to St. John's Hospital in Joplin. There she underwent hip surgery by Dr. Lieurance involving percutaneous pinning of a right femoral neck fracture that had been identified. Dr. Lieurance kept Claimant as non-weight bearing for the next six weeks.
Once she began bearing weight, Claimant noted terrible pain in her right hip, an aching pain in her right knee and a bad, deep pain in her right ankle. Her pain only increased as she continued bearing weight on her right lower extremity. Dr. Lieurance recommended an MRI of Claimant's right knee, which was performed on September 10, 2007. The MRI revealed a lateral capsular separation along with a medial meniscus tear. At that time, Dr. Lieurance recommended
arthroscopy on the right knee. However, Claimant's care was then transferred to Dr. Hicks in October 2007.
At the time of her initial visit with Dr. Hicks, Claimant complained of pain and burning in the right hip, pain and grinding in the right knee as well as extraordinary pain in her right ankle. Dr. Hicks performed arthroscopic partial medial meniscectomy and debridement of the right knee. Additionally, Dr. Hicks performed a surgery to treat the osteochondral talar dome injury to Claimant's right ankle. This was treated using a micro fracture technique.
Claimant continued to follow up with Dr. Hicks and undergo physical therapy. Unfortunately, Dr. Hicks had to perform a second surgery on her right hip in March 2008 removing the hardware placed in the hip by Dr. Lieurance.
As she continued to treat with Dr. Hicks, Claimant described her continued complaints as sickening pain into her right hip, a catching sensation in