Shoulder injuries, ranging from rotator cuff tears to frozen shoulder, are common in workers’ compensation cases. As a QME, the ability to accurately evaluate and document these injuries ensures fair outcomes for all parties involved. This article highlights best practices for handling shoulder injury claims.
Types of Shoulder Injuries Commonly Filed
- Rotator Cuff Tears:
- Common in repetitive overhead tasks or acute trauma.
- Symptoms include weakness, pain, and limited range of motion.
- Shoulder Impingement:
- Caused by compression of tendons or bursae in the joint.
- Leads to inflammation, pain, and difficulty lifting objects.
- Shoulder Dislocations:
- Often from falls or impacts, causing joint instability.
- May require surgical intervention if recurrent.
- Frozen Shoulder (Adhesive Capsulitis):
- Stiffness due to prolonged immobility post-injury.
- Gradual recovery often involves physical therapy.
Steps for a Comprehensive Evaluation
- Obtain a Detailed Medical History:
- Understand the mechanism of injury and pre-existing conditions.
- Perform Objective Tests:
- Range of motion, strength assessments, and stability checks.
- Review Imaging:
- MRI and ultrasound are essential for detecting soft tissue damage.
- Assess Work-Related Functional Limitations:
- Evaluate how the injury impacts specific workplace tasks.
Reporting Essentials
- Causation Analysis: Link the injury to workplace factors.
- Impairment Ratings: Use AMA standards for consistency.
- Recommendations: Suggest treatment plans and workplace accommodations.
Conclusion
Handling shoulder injuries requires a detailed approach to ensure fair claim resolution. By documenting findings comprehensively, QMEs can positively impact both the injured worker and the legal process. Sound Medical Evaluations provides resources to support QMEs in delivering high-quality evaluations.