disability of the left shoulder. In the subsequent August 2014 report, Dr. Stuckmeyer again assigned a 25 % rating to employee's left shoulder. We find the 17.5 % settlement amount most persuasive; this correlates to 40.6 weeks of permanent partial disability.
On January 13, 2009, employee suffered a right shoulder work injury while attempting to throw an extension cord up to a roof. Following an MRI, the initial treating physician, Dr. Kenneth Reynolds, diagnosed a complete rupture of the long head of the biceps tendon. On February 4, 2009, Dr. Key performed a right shoulder tenodesis. At some point following the surgery, employee suffered a re-rupture of the tendon. Employee underwent a course of physical therapy, and Dr. Key returned him to full duty on April 13, 2009. Following Dr. Key's release, employee continued to suffer lost strength in the right arm, which limited his ability to carry heavy items, such as buckets of gravel. Employee relied on coworkers to perform such tasks.
Employee entered a workers' compensation settlement in his claim arising out of the 2009 right shoulder injury for approximately 17.5 % permanent partial disability of the right shoulder at the 232-week level. In his August 2009 report, Dr. Stuckmeyer assigned a 25\% permanent partial disability of the right shoulder. In the subsequent August 2014 report, Dr. Stuckmeyer again assigned a 25 % rating to employee's 2009 right shoulder injury. We note that employee's only ongoing complaint referable to the right upper extremity appears to be some loss of strength; accordingly, we find employee suffered 17.5 % permanent partial disability of the right shoulder at the 232-week level as a result of the 2009 right shoulder injury; this correlates to 40.6 weeks of permanent partial disability.
On August 13, 2010, employee suffered multiple injuries after a hard landing while skydiving. Employee suffered a comminuted fracture of the left tibia; tears of the supraspinatus and infraspinatus tendons in the left shoulder; and a medial meniscus tear of the right knee. Treatment for these injuries involved multiple surgeries, and employee was off work for over a year.
Employee's initial treatment for the left leg fracture included surgery in the form of an open reduction/internal fixation of the tibial facture followed by extensive physical rehabilitation. Employee later developed extra-articular scars and heterotopic ossification affecting the left femur, for which he underwent manipulation under anesthesia on December 14, 2011, with surgical excision of the heterotopic ossification. In his evaluating report of March 20, 2014, Dr. Chris Fevurly noted that employee's left knee problems referable to the skydiving accident caused him to struggle with his work duties as a plumber, such as kneeling, squatting, and climbing ladders, and that employee continued to suffer from left knee pain and reduced range of motion. In the physical examination described in his August 2014 report, Dr. Stuckmeyer noted that employee had only 0 to $90^{\circ}$ range of motion in the left knee, diffuse joint line tenderness over the medial lateral compartment, patellofemoral pain, crepitus, and a positive grind test. Although Dr. Stuckmeyer did not provide a rating for the left knee injury, ${ }^{1}$ we deem the evidence sufficient to support a finding that the skydiving accident caused employee to suffer a 25 % permanent partial disability of the left lower extremity at the 160-week level; this correlates to 40 weeks of permanent partial disability.
For the left shoulder injury resulting from the skydiving accident, Dr. Key performed an arthroscopic decompression, acromioplasty, open rotator cuff repair, and open distal clavicle excision on March 24, 2011. Dr. Stuckmeyer did not increase his permanent partial disability rating of the left shoulder in his August 2014 report; instead, as we have noted, he retained his
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[^0]: ${ }^{1}$ Dr. Stuckmeyer did not discuss the skydiving accident in his August 2014 report, and instead focused solely on employee's disability referable to his 1977, 2007, 2009, and 2014 work-related injuries.
25\% rating. Nor did Dr. Fevurly provide a disability rating referable to the skydiving accident in his March 2014 report; instead, Dr. Fevurly related complaints from employee that are generally indistinguishable from those that we have found employee suffered following the prior 2007 left shoulder injury: pain and weakness in the left shoulder; difficulty pushing, pulling, lifting, and reaching; and an inability to hold power tools overhead with the left arm. In fact, apart from generally describing employee's ongoing struggles with the left shoulder after returning to work, the only new physical complaint described by Dr. Fevurly is popping in the left scapula and shoulder following the 2011 surgery.
Meanwhile, at the hearing before the administrative law judge, employee failed to specifically describe any new complaints affecting his left shoulder which he did not already experience as a result of his prior 2007 left shoulder work injury. Instead, in re