On February 3, 2010, Claimant sustained an accident arising out of and in the course and scope of her employment while on property controlled by Employer. As a result of her accident, Claimant sustained a comminuted fracture of the proximal humerus in her right shoulder.
Claimant initially received treatment at Central Region Medical Center. (Exhibit A) On February 4, 2010 she followed up with Dr. John Tessier. Dr. Tessier reviewed x-rays taken at Central Region Medical Center and diagnosed a comminuted, head-splitting fracture of the proximal humerus. Dr. Tessier discussed possible options with Claimant and indicated that her shoulder would require reconstruction with a humeral head replacement.
On February 8, 2010, Claimant was referred by Employer for an evaluation with Dr. Herbert A. Haupt. (Exhibit B) Dr. Haupt took x-rays and noted that they strongly suggested at least a two-part, perhaps a three-part, proximal humeral fracture involving the humeral head. Dr. Haupt then scheduled Claimant for an immediate CT scan. On February 10, 2010, Dr. Haupt reviewed the CT scan and agreed with the radiologist's conclusion that Claimant had sustained a multi-part, proximal, humerus fracture. Dr. Haupt then referred Claimant to Dr. Richard E. Hulsey for further treatment.
On February 10, 2010, Dr. Hulsey saw Claimant for the first time. After a physical examination and a review of x-rays, Dr. Hulsey diagnosed Claimant with a comminuted humeral neck fracture and tuberosity fractures. Dr. Hulsey recommended that Claimant undergo a hemiarthroplasty with repair of tuberosities.
On February 15, 2010, Dr. Hulsey performed a hemiarthroplasty on Claimant's right shoulder with reconstruction of tuberosities and a biceps tenodesis. (Exhibit C)
On February 24, 2010, Claimant followed up with Dr. Hulsey, who observed that Claimant was doing well. (Exhibit B) Dr. Hulsey noted that the alignment of the hemiarthroplasty was good and that the tuberosities were sitting anatomically. Dr. Hulsey recommended that Claimant continue to use the abduction sling on a full-time basis. He also instructed Claimant on gentle pendulum exercises and passive flexion.
On March 10, 2010, Claimant returned to Dr. Hulsey for a follow-up visit. Dr. Hulsey observed that Claimant was doing well and switched her to a regular sling for the following two weeks. Dr Hulsey also started Claimant on a physical therapy program. Dr. Hulsey restricted Claimant from lifting, driving before the next office visit, and being around individuals who could be physically abusive.
Claimant returned to Dr. Hulsey on March 31, 2010. At that time, Dr. Hulsey noted that Claimant was progressing as expected. He recommended that she wean herself from the sling over the following two weeks.
Dr. Hulsey again evaluated Claimant's progress on April 21, 2010. Dr. Hulsey observed that