Court Opinion

ID: 8207369
Source: CourtListenerOpinion
Date Created: 2022-09-19 22:13:34.723097+00
Date Added: 2024-06-11T16:41:24.651459
License: Public Domain

FILED
                                                                          September 19, 2022
                                                                             EDYTHE NASH GAISER, CLERK
                                                                             SUPREME COURT OF APPEALS
                                                                                 OF WEST VIRGINIA

                              STATE OF WEST VIRGINIA

                           SUPREME COURT OF APPEALS

KEITH L. KETTERMAN,
Claimant Below, Petitioner

vs.)   No. 21-0429 (BOR Appeal No. 2056013)
                   (Claim No. 2020016586)

WEST VIRGINIA DIVISION OF HIGHWAYS,
Employer Below, Respondent

                              MEMORANDUM DECISION
       Petitioner Keith L. Ketterman, by Counsel Lawrence E. Sherman Jr., appeals the decision
of the West Virginia Workers’ Compensation Board of Review (“Board of Review”). West
Virginia Division of Highways, by Counsel James W. Heslep, filed a timely response.

       The issue on appeal is compensability. The claims administrator rejected the claim on
February 6, 2020. The Workers’ Compensation Office of Judges (“Office of Judges”) affirmed the
decision in its November 13, 2020, Order. The Order was affirmed by the Board of Review on
April 22, 2021.

        The Court has carefully reviewed the records, written arguments, and appendices contained
in the briefs, and the case is mature for consideration. The facts and legal arguments are adequately
presented, and the decisional process would not be significantly aided by oral argument. Upon
consideration of the standard of review, the briefs, and the record presented, the Court finds no
substantial question of law and no prejudicial error. For these reasons, a memorandum decision is
appropriate under Rule 21 of the Rules of Appellate Procedure.

       The standard of review applicable to this Court’s consideration of workers’ compensation
appeals has been set out under W. Va. Code § 23-5-15, in relevant part, as follows:

              (c) In reviewing a decision of the Board of Review, the Supreme Court of
       Appeals shall consider the record provided by the board and give deference to the
       board’s findings, reasoning, and conclusions . . . .

              (d) If the decision of the board represents an affirmation of a prior ruling by
       both the commission and the Office of Judges that was entered on the same issue
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        in the same claim, the decision of the board may be reversed or modified by the
        Supreme Court of Appeals only if the decision is in clear violation of constitutional
        or statutory provision, is clearly the result of erroneous conclusions of law, or is
        based upon the board’s material misstatement or mischaracterization of particular
        components of the evidentiary record. The court may not conduct a de novo
        reweighing of the evidentiary record . . . .

See Hammons v. W. Va. Off. of Ins. Comm’r, 235 W. Va. 577, 582-83, 775 S.E.2d 458, 463-64
(2015). As we previously recognized in Justice v. West Virginia Office Insurance Commission,
230 W. Va. 80, 83, 736 S.E.2d 80, 83 (2012), we apply a de novo standard of review to questions
of law arising in the context of decisions issued by the Board. See also Davies v. W. Va. Off. of
Ins. Comm’r, 227 W. Va. 330, 334, 708 S.E.2d 524, 528 (2011).

        Mr. Ketterman alleges that he injured his left upper extremity due to repetitive work on or
around November 12, 2019. On December 12, 2019, Mr. Ketterman sought treatment at South
Branch Hospitalist & Internal Medicine, PLLC, and was seen by Nurse Barger. Mr. Ketterman
reported left shoulder pain, decreased range of motion, occasional weakness, tingling, and
occasional numbness for three months with no known injury. The First Report of Injury was
completed by Debra Davis. It indicates Mr. Ketterman alleged a left shoulder injury due to
repetitive motions such as climbing, pulling, lifting, tightening bolts, and reaching. The employer
was notified of the alleged injury on January 14, 2020. It was noted that Mr. Ketterman initially
reported that his pain was due to arthritis, but an MRI showed a tear. Mr. Ketterman asserts that
the tear resulted from repetitive movement at work.

        A left upper extremity MRI was performed on December 23, 2019, and showed a small
tear of the supraspinatus tendon and mild hypertrophic arthropathy of the left acromioclavicular
joint. A January 17, 2020, BrickStreet Incident Report indicates the approximate injury date as
November 12, 2019, and noted that the incident was not immediately reported to a supervisor. The
report stated that Mr. Ketterman alleged a repetitive injury to the left shoulder.

        On January 22, 2020, Joseph Hahn, M.D., treated Mr. Ketterman for a repetitive left
shoulder injury. It was noted that Mr. Ketterman was referred from Bruce Leslie, M.D., Mr.
Ketterman’s primary care physician. Dr. Hahn diagnosed complete left rotator cuff tear, not
specified as traumatic. Rotator cuff repair surgery was recommended.

        In a January 30, 2020, statement recorded by Encova Insurance, Mr. Ketterman asserted
that around November 12, 2019, he started noticing pain in his left shoulder, which he assumed
was due to arthritis. After seeking treatment, an MRI was performed and revealed a rotator cuff
tear. Mr. Ketterman stated that he had continued to work since his pain started. He denied any
prior left shoulder injuries but did say that he had a right rotator cuff tear two years prior for which
he had surgery.

        The claims administrator rejected the claim on February 6, 2020. It noted that Mr.
Ketterman reported a gradual onset of pain due to arthritis and that there was no work event that
resulted in an injury. The Office of Judges affirmed the claims administrator’s rejection of the
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claim in its November 13, 2020, Order. It found that the left shoulder MRI showed a small rotator
cuff tear that was eventually determined to be a complete tear by Dr. Hahn. However, the Office
of Judges found that Mr. Ketterman failed to prove that the condition resulted from his work. Mr.
Ketterman asserted in a recorded statement that he noticed the pain around November 12, 2019,
but did not report the pain for two months because he thought it was due to arthritis. The Office of
Judges found that Mr. Ketterman did not submit a Report of Injury. He also failed to provide
evidence that any physician attributed the repetitive left shoulder injury to his employment. The
Office of Judges concluded that Mr. Ketterman failed to provide sufficient evidence to show that
he sustained an injury in the course of and resulting from his employment. The Board of Review
adopted the findings of fact and conclusions of law of the Office of Judges and affirmed its Order
on April 22, 2021.

       After review, we agree with the reasoning and conclusions of the Office of Judges as
affirmed by the Board of Review. For an injury to be compensable it must be a personal injury that
was received in the course of employment, and it must have resulted from that employment.
Barnett v. State Workmen’s Comp. Comm’r, 153 W. Va. 796, 172 S.E.2d 698 (1970). Though the
evidence indicates that Mr. Ketterman has a left shoulder rotator cuff tear, there is no evidence that
the condition is the result of his work duties.

                                                                                           Affirmed.
ISSUED: September 19, 2022

CONCURRED IN BY:
Chief Justice John A. Hutchison
Justice Elizabeth D. Walker
Justice Tim Armstead
Justice William R. Wooton
Justice C. Haley Bunn

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