Distribution 2005-2012

Distribution – 2005 through 2012

No. of Decisions

1

5

1

3

42

2

24

2

120

3

 11  

            Award

2.5%

10%

11.5%

12.5%

15%

17%

17.5%

18%

20%

22%

 22.5%  

 

No. of Decisions

1

13 1

2

2

1

3

1

1

2

1

 1

            Award

23%

 25% 26%

27.5%

30%

32.5%

35%

40%

45%

50%

55%

75% 

2012 Guide

Cubital Tunnel Syndrome w/Surgery / Ulnar Nerve Damage 2012 (S0870636.DOCX;1)

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

2012 Decisions

Case #

12-IWCC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0018

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a left carpal tunnel release and submuscular ulnar nerve transposition at the elbow.  A second surgery consisted of a right carpal tunnel release and submuscular ulnar nerve transposition at the elbow.  The employee was released to full duty work.  The employee testified that she still has problems, particularly in her left elbow area with burning.  TTD 18 weeks

Age/Occupation:  37 / Factory employee

Panel:  Gore, Latz, Basurto

         

0096

Elbows – bilateral cubital tunnel syndrome

20% R. Arm

20% L. Arm

Nalefski

Right arm surgery consisted of a right cubital tunnel release with a submuscular transposition of the ulnar nerve.  Left arm surgery consisted of a left cubital tunnel release with a submuscular transposition of the ulnar nerve.  The employee testified that he notices some soreness and tingling in his fingers.  When he is sitting in a chair with arm rests for a period, his fingers go numb.  The employee was released to full duty work.  TTD –

Age/Occupation:  36 / Correctional officer

Panel:  Donohoo, Lamborn, Tyrrell

         

0127

Left elbow ulnar neuropathy, medial epicondylitis

20% L. Arm

Nalefski

Left arm surgery consisted of a left anterior submuscular transposition of the ulnar nerve.  The employee returned to work until he was laid off.  He found another job.  He testified that surgery provided no relief.  He has lost left hand strength, developed twitching of his fingers.  TTD paid.

Age/Occupation:  43 / Crane operator

Panel:  Latz, Gore, Basurto

0128

Hands – bilateral carpal tunnel syndrome; Right elbow – cubital tunnel syndrome

15% R. H and

15% L. Hand

15% R. Arm

Neal

The first surgery consisted of a right carpal tunnel release and a right cubital tunnel release.  The second surgery consisted of a left carpal tunnel release surgery.  The employee testified that surgeries greatly helped his hands and elbow conditions.  He experiences a loss of hand grip strength bilaterally, pain with weather changes.  His right elbow becomes painful with weather changes and remains extremely sensitive to touch.  TTD paid.

Age/Occupation:  60 / Machinist

Panel:  Latz, Gore, Basurto

         

0130

Elbows – pronator tunnel syndrome

15% R. Arm

15% L. Arm

Tobin

Surgery consisted of left and right pronator surgery.  The employee testified to bilateral loss of strength and pain in her wrists and forearms.  TTD 9 4/7 weeks.

Age/Occupation:  26 / Production worker

Panel:  Gore, Latz, Basurto

         

0146

Elbows – bilateral cubital tunnel syndrome

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a right cubital tunnel release followed by a left cubital tunnel release.  The employee was released to full duty work.  He has difficulty with increased activity and continuing numbness in his fingers.  He takes over the counter medications.  TTD paid

Age/Occupation:  33 / Correctional officer

Panel:  Tyrrell, Lamborn, Donohoo

         

0173

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

Nalefski

Surgery consisted of a right and left cubital tunnel release with an ulnar nerve transposition followed by physical therapy.  The employee returned to work without restrictions.  TTD –

Age/Occupation:  38 / Correctional officer

Panel:  Basurto, Gore, Latz

         

0270

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

(25% L. Arm

20% R. Arm)

Nalefski

Surgery consisted of a right cubital tunnel release with a submuscular transposition of the ulnar nerve.  A second surgery consisted of a left cubital tunnel release with a submuscular transposition of the ulnar nerve.  The employee was released to full duty work.  The employee notices soreness and tingling in his fingers with a significant loss of strength in his left arm and decreased grip in his hands.  TTD n/a

Age/Occupation:  31 / Correctional officer

Panel:  Lamborn, Tyrrell, Donohoo

         

0272

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

17.5% R. Hand

17.5% L. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a left cubital tunnel release with an anterior submuscular transposition of the ulnar nerve and a left carpal tunnel release.  A second surgery consisted of a right cubital tunnel release with an anterior submuscular transposition of the ulnar nerve and a right carpal tunnel release.  The employee’s condition improved.  However, he has a loss of grip strength and loss of elbow flexibility.  His hobbies are curtailed.  He takes over the counter medication.  TTD paid.

Age/Occupation:  30 / Correctional officer

Panel:  Lamborn, Donohoo, Tyrrell

         

0290

Elbows – bilateral cubital tunnel syndrome; left medial epicondylitis; Hands – bilateral carpal tunnel syndrome

20% L. Arm

20% R. Arm

20% L. Hand

20% R. Hand

Nalefski

Surgery consisted of bilateral open carpal tunnel and cubital tunnel releases and a medial epicondylar release.  The employee was returned to full duty work.  He has periodic pain in his hand, diminished strength in both hands and intermittent tingling in his fingers.  He has sensitivity over the incision site of each elbow.  He notices a general weakness in his arms.  TTD 5 6/7 weeks.

Age/Occupation:  57 / Lab inspector

Panel:  DeVriendt, Dauphin, White

         

0300

Left elbow – cubital tunnel syndrome; Left hand – carpal tunnel syndrome (4 cases consolidated)

30% L. Arm

- 4% credit

26% L. Arm

17.5% L. Hand

Mathis

Left elbow and left hand surgery consisted of a left lateral epicondylar release with a radiocapitellar arthrotomy, left anterior ulnar nerve transposition and a left hand carpal tunnel release.  A second left elbow surgery consisted of a repeat left ulnar nerve transposition.  TTD n/a

Age/Occupation:  48 / Factory worker

Panel:  White, Dauphin, DeVriendt

         

0311

Right hand – carpal tunnel syndrome; Left hand – carpal tunnel syndrome; Left elbow –cubital tunnel syndrome

15% R. Arm

20% L. Hand

(no notice)

 

Surgery consisted of a right carpal tunnel release followed by a left carpal tunnel release and left ulnar nerve transposition followed by physical therapy.  The employee was happy with the results of the surgery.  All her numbness and tingling in her hands are gone.  She testified to numbness in her right ring and pinky fingers.  She has no problems with her left hand and arm.  TTD 2 6/7 weeks

Age/Occupation:  __ / Secretary

Panel:  Tyrrell, Donohoo; Dissent:  Lamborn

         

0342

Elbows – bilateral cubital tunnel syndrome

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a right elbow cubital tunnel release with anterior submuscular transposition of the ulnar nerve with mild lengthening of the flexor pronator tendon origin.  The employee underwent similar surgery on his left elbow.  He underwent physical therapy and then returned to full duty work.  TTD paid.

Age/Occupation:  34 / Correctional officer

Panel:  Gore, Latz, Basurto

         

0410

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% L. Hand

15% R. Hand

15% L. Arm

15% R. Arm

Nalefski

Surgery consisted of a right carpal tunnel release and a right cubital tunnel release with a submuscular transposition of the ulnar nerve with lengthening of the flexor pronator tendon origin.  Similar surgical procedures were performed on the left upper extremity.  The employee took a new job following his retirement.  He notices a loss of grip strength in both hands.  He has tenderness in his hands and elbows.  TTD 9 5/7 weeks

Age/Occupation:  50 / Maintenance officer

Panel:  Dauphin, DeVriendt, White

         

0361

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

Nalefski

Surgery consisted of a right ulnar transposition followed by a left ulnar transposition followed by physical therapy.  The employee was released to return to full duty work.  The employee continues to have a little numbness and tingling with lack of grip.  While driving, his hands will cramp. TTD paid

Age/Occupation:  50 / Correctional officer

Panel:  Latz, Basurto, Gore

         

0411

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

Nalefski

Right elbow surgery consisted of a cubital tunnel release with anterior submuscular transposition of the ulnar nerve.  The employee underwent the same surgery on the left side.  The employee experiences pain and tightness in his elbows with increased activity.  He has less endurance, weakness and occasional pain.  TTD paid

Age/Occupation:  40 / Correctional officer

Panel:  Dauphin, DeVriendt, White

         

0414

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% R. Arm

20% L. Arm

20% L. Hand

Tobin

Surgery consisted of a right carpal tunnel release and a right cubital tunnel release with a submuscular ulnar nerve transposition.  A second surgery consisted of a left carpal tunnel release and a left anterior submuscular ulnar nerve transposition.  The employee notices occasional popping in his left elbow.

TTD 12 1/7 weeks

Age/Occupation:  42 / Printer

Panel:  Dauphin, DeVriendt, Dissent: White

         

0425

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

Nalefski

Surgery consisted of a right cubital tunnel release with a submuscular transposition of the ulnar nerve.  The second surgery consisted of a left cubital tunnel release with a submuscular transposition of the ulnar nerve.  The employee was released to full duty.  The employee testified that he notices some soreness in his elbows with residual tingling in his fingers. 

TTD n/a.  Age/Occupation:  34 / Correctional officer

Panel:  Tyrrell, Lamborn, Donohoo

         

0457

Bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

Nalefski

Surgery consisted of a right cubital tunnel release with an ulnar nerve transposition on the right and left.  The employee testified that he has a loss of arm strength and decreased grip strength.  He takes over the counter pain medication.  TTD paid.

Age/Occupation:  39 / Correctional officer

Panel:  Gore, Latz, Basurto

         

0461

Elbows – bilateral cubital tunnel syndrome

15% R. Arm

15% L. Arm

(20% R. Arm

17.5% L. Arm)

Nalefski

Surgery consisted of a right cubital tunnel release with submuscular transposition of the ulnar nerve.  The second surgery consisted of a left cubital tunnel release with a submuscular transposition of the ulnar nerve.  The employee testified that he has some soreness in his right elbow with residual stiffness.  His left elbow is doing better than his right elbow.  TTD paid

Age/Occupation:  41 / Corrections officer

Panel:  DeVriendt, Dauphin, White

         

0629

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

25% R. Arm

25% L. Arm

20% L. Hand

20% R. Hand

Nalefski

Surgery consisted of a left cubital tunnel release with ulnar transposition, a medial epicondylectomy and a left carpal tunnel release.  The employee underwent a similar surgery on his right hand/arm.  The employee still has symptoms at the end of his shift.  TTD –

Age/Occupation:  37 / Correctional officer

Panel:  Basurto, Gore, Latz

         

0661

Arms – bilateral cubital tunnel syndrome (bilateral guyon’s canal syndrome); Hands – bilateral carpal tunnel syndrome; Thumbs – bilateral trigger thumbs

25% R. Hand

17.5% L. Hand

17.5% R. Arm

20% L. Arm

50% r. Thumb

17.5% L. Thumb

 (30% R. Hand, 17.5% R. Arm, 50% R. Thumb, 17.5% L. Hand, 20% L. Arm, 20% L Thumb)

Tobin

The first surgery consisted of a right carpal tunnel release followed by a left carpal tunnel release.  The next surgery consisted of a right cubital tunnel release at the elbow, a right guyon’s canal release at the wrist and a right trigger thumb release.  Identical procedures were then performed on the employee’s left upper extremity.  The employee continued to work as a packer.

TTD n/a

Age/Occupation:  56 / Packer

Panel:  Dauphin, DeVriendt, White

         

0670

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome; Right elbow – medial epicondylitis

15% R. Arm

15% L. Arm

17.5% L. Hand

17.5% R. Hand

Tobin

Surgery consisted of a right carpal tunnel release and right cubital tunnel release.  The second surgery consisted of a left carpal tunnel release and left carpal tunnel release.  The employee was released to return to work with no restrictions.  The right elbow medial epicondylitis was successfully treated with an injection.  The employee has minor numbness around his surgical scars and a slight sensation of decreased grip strength.  He has complaints regarding the right medial epicondylitis.  TTD n/a

Age/Occupation:  __ / Corrections officer

Panel:  Dauphin, White, DeVriendt

         

0705

Elbows – bilateral ulnar neuropathy; Hands – bilateral carpal tunnel syndrome

35% L. Arm

- 17.5% credit

17.5% L. Arm

15% R. Arm

20% R. Hand

20% L. Hand

(25% L. Arm

- 17.5% credit

7.5% L. Arm; 15% R. Arm

20% R. Hand

20% L. Hand)

Grenada

Surgery consisted of a left carpal tunnel release and an external and anterior submuscular transposition of the ulnar nerve.  A second surgery consisted of an anterior submuscular transposition of the ulnar nerve and right carpal tunnel release.  The employee was released to return to work without restrictions.  She now notices shaking or tremors in both hands and a stabbing pain in her right forearm.  TTD n/a

Age/Occupation:  48 / Typist

Panel:  DeVriendt, Dauphin, White

         

0706

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

Nalefski

Surgery consisted of bilateral cubital tunnel releases with anterior submuscular transpositions of the ulnar nerves followed by physical therapy.  The employee now experiences pain and tightness in his elbows.  He has less endurance, some weakness and occasional tingling affecting his ability to work and engage in recreational activities.  TTD n/a

Age/Occupation:  38 / Correctional officer

Panel:  Dauphin, DeVriendt, White

         

0785

Left elbow – cubital tunnel syndrome; Back – lumbar strain

1% MAW

15% L. Arm

Tobin

Elbow surgery consisted of left cubital tunnel surgery.  As to the back injury, the employee had pre-existing lumbar degenerative disc injury which was found unrelated to this accident.  TTD 9 6/7 weeks

Age/Occupation:  47 / Security guard

Panel:  White, Dauphin, DeVriendt

         

0786

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% L. Hand

20% R. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a right carpal tunnel release and a right cubital tunnel release with an ulnar nerve transposition.  A second surgery consisted of a left carpal tunnel release and a left cubital tunnel release with an ulnar nerve transposition.  The employee was released to full duty work.  The employee continues to have symptoms in his hands and elbows.  Turning keys at work causes a shocking sensation down his arms.  He has difficulty lifting bags of laundry. 

TTD paid.  Age/Occupation:  45 / Correctional officer

Panel:  Gore, Latz, Basurto

         

0790

Elbows – bilateral cubital tunnel syndrome

17.5% L. Arm

17.5% R. Arm

(7.5% L. Arm

7.5% R. Arm)

Granada

Surgery consisted of a right cubital tunnel release and ulnar nerve transposition and a left cubital tunnel release and ulnar nerve transposition.  The employee underwent physical therapy.  The employee returned to work.  He notices swelling around both elbows, numbness and tingling.  TTD –

Age/Occupation:  36 / Correctional officer

Panel:  Gore, Basurto, Latz

         

0888

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% L. Hand

20% R. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a right cubital tunnel release with anterior submuscular transposition of the ulnar nerve and a right carpal tunnel release.  A second surgery was performed on the left side in similar form with similar findings.  The employee was allowed to return to work.  He feels discomfort in his elbows and hands, difficulty grasping and carrying items for long periods of time.  TTD paid.

Age/Occupation:  42 / Corrections officer

Panel:  Basurto, Latz, Gore

         

0951

Hand – carpal tunnel syndrome; Elbow – cubital tunnel syndrome; Left Thumb – basal joint arthritis

17.5% L. Hand

20% L. Arm

2.5% L. Thumb

(10% L. Hands

10% L. Arm

2.5% L. Thumb)

Grenada

Surgery consisted of a left carpal tunnel release, a left ulnar nerve decompression with submuscular transposition and a left basal joint injection followed by physical therapy.  The employee testified that his numbness and pain are gone but he still suffers from a lack of strength in both his hands and arm. 

TTD 13 weeks

Age/Occupation:  49 / Correctional officer

Panel:  Donohoo, Tyrrell; Dissent:  Lamborn

         

0959

Elbows – bilateral cubital tunnel syndrome and epicondylitis

25% L. Arm

25% R. Arm

Nalefski

Surgery consisted of a right cubital tunnel release with an ulnar transposition and limited lateral epicondylectomy and forearm fascia repair.  A similar procedure was performed on the left with similar operative findings.  The employee underwent physical therapy.  He was released to full duty work.  The employee continues to have elbow symptoms.  TTD paid

Age/Occupation:  40 / Correctional officer

Panel:  Lamborn, Tyrrell, Donohoo

         

1050

Right elbow ulnar neuropathy

80% R. Arm

Kelmanson

The employee underwent two surgeries (not described) to address ulnar neuropathy.  He had prior history of a hand laceration affecting use.  The employee took early retirement.  The employer had offered the employee light duty work.  The employee sought a permanent total disability award but he had retired and failed to prove he seriously sought a job.  TTD 188 3/7 weeks

Age/Occupation:  53 / Water Dept. employee

Panel:  Gore, Latz, Basurto

         

1058

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% R. Hand

15% L. Hand

15% R. Arm

15% L. Arm

(10% R. Arm

10% L. Arm

10% L. Hand

10% R. Hand)

Granada

Surgery consisted of a right cubital tunnel release with an ulnar nerve transposition and right carpal tunnel release.  The employee underwent similar left carpal tunnel and cubital tunnel release.  The employee testified that his hobbies of bow hunting and fishing have been adversely affected.  He takes over the counter medication.  He has difficulty performing job duties.  TTD paid

Age/Occupation:  51/ Electrician

Panel:  Lamborn, Donohoo, Tyrrell

1081

Elbows – cubital tunnel syndrome

17.5% L. Arm

17.5% R. Arm

(10% L. Arm

10% R. Arm)

Grenada

Surgery consisted of a right and left cubital tunnel release and an ulnar nerve transposition.  The employee was released to return to regular work.  He has difficulty picking up heavy bags of handcuffs and leg irons, pain lifting, pushing and pulling heavy materials.  He takes over the counter medication 2-3 times per week.  TTD paid

Age/Occupation:  52 / Correctional officer

Panel:  Latz, Gore, Basurto

         

1119

Hands – bilateral carpal tunnel syndrome, pronator tunnel syndrome; Elbows – bilateral cubital tunnel syndrome; Neck – strain

20% R. Hand

20% R. Arm

17.5% L. Hand

15% L. Arm

2% MAW

(35% R. Arm

17.5% L. Arm

2% MAW)

Kelmanson

Surgery consisted of a right carpal tunnel release and a right pronator tunnel release.  The second surgery consisted of a left carpal tunnel release, a left pronator tunnel release, and a left ulnar nerve transposition at the elbow.  The third surgery consisted of a submuscular transposition of the right ulnar nerve at the elbow.  The employee suffered a neck strain in another accident.  The employee currently works as a supervisor booter.  She suffers from constant, sharp pain in the right hand and wrist, left elbow pain and some pain in hand and wrist.  She has difficulty cooking and sewing because of cramping.

TTD 17 4/7 weeks

Age/Occupation:  49 and 52 / Chicago “car booter”

Panel:  Basurto, Gore, Latz

         

1125

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

- 41 weeks credit

15% L. Hand

20% R. Arm

20% L. Arm

(15% R. Hand

12.5% L. Hand

12.5% R. Arm

12.5% L. Arm)

Cronin

Surgery consisted of a right carpal tunnel release and a right cubital tunnel release with an anterior submuscular transposition of the ulnar nerve with myofascial lengthening of the flexor-pronator tendon origin.  The employee underwent physical therapy.  The employee testified that she was doing well.  She had a good recovery.

TTD –

Age/Occupation:  46 / Correctional officer

Panel:  Gore, Latz, Basurto

         

1146

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

17.5% L. Arm

17.5% R. Arm

15% R. Hand

15% L. Hand

(10% each Hand; 15% each Arm)

Mathis

Surgery consisted of a right carpal tunnel release and right cubital tunnel release followed by a left carpal tunnel release and left cubital tunnel release.  The employee was released to full duty after treatment for a wound infection in her left hand.  The employee continues to have numbness and tingling in her hands with activity.  TTD paid

Age/Occupation:  46 / Correctional officer

Panel:  Dauphin, DeVriendt, White

         

1160

Elbows – bilateral cubital tunnel syndrome

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a right cubital tunnel release with an ulnar nerve transposition.  A second surgery consisted of a left cubital tunnel syndrome with an ulnar nerve transposition.  The employee underwent physical therapy then returned to full duty work.  He has constant finger numbness, decreased grip strength.  His fishing and hunting activities have been curtailed.  TTD paid.

Age/Occupation:  40 / Correctional officer

Panel:  White, Dauphin, DeVrient

         

1162

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% L. Hand

15% R. Hand

15% R. Arm

17.5% L. Arm

Akemann

Surgery consisted of a right endoscopic cubital tunnel decompression and a right open carpal tunnel release.  The same procedures were performed on the employee’s left hand and left elbow.  The employee returned to full duty work.  The employee testified his hands are fine, but his left elbow is still numb at times.  TTD 4 weeks.

Age/Occupation:  39 / Correctional officer

Panel:  Dauphin, DeVriendt; Dissent: White

         

1169

Hands – bilateral carpal tunnel syndrome; Right Elbow – cubital tunnel syndrome

17.5% R. Arm

17.5% R. Hand

17.5% L. Hand

(no accident)

 

The first surgery consisted of a right open carpal tunnel release and right elbow ulnar nerve transposition.  The second surgery consisted of a left open carpal tunnel release.  The employee currently performs her full duties on a part time basis. 

TTD 2 2/7 weeks

Age/Occupation:  __ / Secretary

Panel:  Dauphin, DeVriendt; Dissent:  White

         

1182

Elbows – bilateral cubital tunnel syndrome

15% L. Arm

15% R. Arm

Nalefski

Surgery consisted of a right cubital tunnel release with an ulnar nerve transposition followed by a left ulnar nerve transposition followed by physical therapy.  The employee complains of shooting pain from his elbow to his fingertips when he moves his forearm quickly.  His elbows hurt when he lays them on a table, tries to write or rests them on car armrests.  TTD --  Age/Occupation:  39 / Correctional officer

Panel:  White, Dauphin, DeVriendt

         

1183

Right elbow – cubital tunnel syndrome; Right trigger thumb and cyst

15% R. Arm

15% R. Thumb

(20% R. Arm

20% R. Thumb)

Nalefski

Surgery consisted of a release of a right trigger thumb and right cubital tunnel release.  The employee was released to full duty work.  She testified that she was doing great and had no symptoms. 

TTD 10 5/7 weeks

Age/Occupation:  42 / Pouch machine operator

Panel:  White, Dauphin, DeVriendt

         

1205

Hands – bilateral carpal tunnel syndrome; Right Elbow – ulnar nerve entrapment

20% R. Hand

17.5% L. Hand

20% R. Arm

Tobin

The first surgery consisted of a right carpal tunnel release and release of the ulnar nerve compression using an open technique.  The second surgery consisted of a left open carpal tunnel release.  The employee still has occasional pains in his elbow and hands.  He testified that he has lost strength in his right arm.  TTD n/a

Age/Occupation:  38 / Correctional officer

Panel:  Basurto, Gore, Latz

         

1246

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% R. Hand

15% L. Hand

12.5% R. Arm

12.5% L. Arm

(12.5% each hand; 12.5% each arm)

Laskin

Surgery consisted of a left carpal tunnel release and decompression of the ulnar nerve at the left elbow.  The same set of procedures was performed on the employee’s right hand and elbow.  The employee returned to full duty work.  Numbness and tingling resolved.  He has some residual complaints of soreness and stiffness in the arms.  TTD paid

Age/Occupation:  47  Corrections / Craftsman

Panel:  Lamborn, Tyrrell, Donohoo

         

1269

Right hand – carpal tunnel syndrome; Elbows – cubital tunnel syndrome

17.5% L. Hand

60% R. Hand

-55% credit

5% R. Hand

15% R. Arm

15% L. Arm

(15% L. Hand

5% R. Hand

15% Each Arm)

Mathis

Surgery consisted of a right carpal tunnel and cubital tunnel release with ulnar nerve transposition.  The employee underwent the same surgery on the left.  The employee reports loss of strength in his elbows and hands.  He has symptoms while performing work duties.  TTD

Age/Occupation:  33 / Correctional officer

Panel:  White, Dauphin, DeVriendt

         

1292

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% R. Hand

20% L. Hand

15% R. Arm

15% L. Arm

(17.5% R. Hand

20% L. Hand

17.5% R. Arm

17.5% L. Arm)

Tobin

Surgery consisted of a left sided ulnar nerve transposition and carpal tunnel release.  The same surgeries were then performed on the left side.  The employee was released without restrictions.  The employee testified that he was doing well with minimal complaints of numbness of the left index, middle and ring fingers.  TTD 18 3/7 weeks

Age/Occupation:  39 / Tire mixer-operator

Panel:  White, Dauphin, DeVriendt

         

1293

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% L. Hand

15% R. Hand

15% L. Arm

15% R. Arm

(12.5% L. Hand

12.5% R. Hand

15% L. Arm

15% R. Arm)

Luskin

Surgery consisted of a left open carpal tunnel release and anterior transposition of the left ulnar nerve.  The same surgeries were performed on the right.  The employee returned to his regular job.  He experiences strength deficits in his arms and hands.

TTD 6 5/7 weeks

Age/Occupation:  61 / Forklift operator / Palletizer

Panel:  White, Dauphin, DeVriendt

         

1347

Right shoulder torn biceps tendon, labrum fraying, adhesive capsulitis; Left elbow – cubital tunnel syndrome

11.38% MAW for right shoulder

17.5% L. Arm for elbow

Nalefski

Elbow surgery consisted of a left ulnar nerve transposition followed by exercise and therapy.  Shoulder surgery consisted of arthroscopic surgery to repair a torn biceps tendon and labrum fraying. A second shoulder surgery was performed to correct right shoulder adhesive capsulitis followed by physical therapy.  The employee returned to work.  Her right shoulder is lower.  She experiences pain when working.  She still has numbness and left elbow aching while working.  TTD paid

Age/Occupation:  48 / Correctional officer

Panel:  Lamborn, Tyrrell, Donohoo

         

1419

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

10% R. Hand

10% L. Hand

10% R. Arm

10% L. Arm

Granada

Surgery consisted of a right carpal tunnel release and right ulnar nerve transposition followed by the same procedures on the left hand and left elbow followed by physical therapy.  The employee was eventually released to full duty work. 

Age/Occupation:  39 / Correctional officer

Panel:  Tyrrell, Lamborn; Dissent:  Donohoo

         

1423

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

17% R. Hand

17% L. Hand

17% R. Arm

17% L. Arm

White

Right surgery consisted of a right carpal release and cubital tunnel nerve transposition.  Left surgery consisted of a left carpal tunnel release and ulnar nerve transposition.  The employee experiences loss of strength in his hands and arms and a loss of grip in his hands.  TTD 21 4/7 weeks

Age/Occupation:  52 / Coal miner

Panel:  Tyrrell, Donohoo, Lamborn

         

2011 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

2011 Decisions

Case #

11-IWCC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0213

Right elbow recurrent radial tunnel syndrome, cubital tunnel syndrome, cubital tunnel syndrome, neuroma, lateral epicondylitis.  Hands – bilateral carpal tunnel syndrome; Right Thumb – deQuervain’s syndrome

35% R. Hand

20% L. Hand

25% R. Arm

(35% R. Hand

20% L. Hand

30% R. Arm)

Tobin

Hand surgeries consisted of cubital decompression surgeries.  Right thumb surgery to address deQuervain’s syndrome.  First elbow surgery performed to address radial tunnel syndrome, epicondylitis and Wartenberg’s syndrome.  A second right elbow surgery was performed to address the same issues.  The employee testified that she had very weak grip strength.  She has elbow and right thumb pain.  TTD 116 4/7 weeks

Age/Occupation:  41 / Service representative

Panel:  DeMunno, Basurto, Gore

         

0254

Left Arm neuritis, contusion left forearm, parthesias left hand; Left shoulder capsular ligament injuries; chronic pain; depression

75% L. Arm

15% MAW

Hagan

Multiple surgeries.  The first surgery consisted of a left ulnar nerve decompression.  The second surgery consisted of a revised ulnar nerve transposition.  The third surgery consisted of a “Tommy John” procedure, the left elbow medial collateral ligament was reconstructed with a wrist ligament.  The fourth surgery consisted of a left shoulder Bankhart procedure.  The fifth surgery consisted of a neurolysis of the left brachial plexus at the left clavicular followed by 2 high thoracic epidural catheter procedures.  Another surgery consisted of a revision of the ulnar nerve transposition.  The employee was allowed to return to work as a teacher.  She underwent psychological counseling.  TTD n/a

Age/Occupation:  41 / School teacher

Panel:  Donohoo, Mason; Dissent:  Lamborn

0284

Hands – bilateral carpal tunnel syndrome; R. Thumb osteoarthritis; Arms – bilateral cubital tunnel syndrome.  Right hand dominant

17.5% R. Arm

15% L. Arm

17.5% R. Hand

15% L. Hand

Akemann

Surgeries consisted of a left ulnar nerve transposition, a left carpal tunnel release, a right ulnar nerve transposition and a right carpal tunnel release.  The employee testified that he has pain in both hands and forearms with weakness and numbness in hands and arms.  TTD 20.6 weeks.

Age/Occupation:  53 / Jig bore operator

Panel:  Gore, Dauphin; Dissent:  Lindsay

         

0335

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome, ulnar neuropathies

22.5% L. Arm

20% R. Arm 15% R. Hand

17.5% L. Hand

(20% R. Hand

20% L. Hand

22.5% R. Arm; 22.5% L. Arm)

Teague

The first surgery consisted of a right carpal tunnel release and a right cubital tunnel release with an anterior submuscular transposition.  The second surgery consisted of a left carpal tunnel release and a left cubital tunnel release with an anterior submuscular transposition.  The employee’s current symptoms to right arm include continued tingling and numbness.  She has elbow sensitivity and decreased

grip strength.  She drops things regularly with her left arm.  TTD 13 3/7 weeks

Age/Occupation:  44 / Purchasing assistant

Panel:  Mason, Donohoo, Lamborn

         

0406

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital syndrome and ulnar neuropathy; Right shoulder – rotator cuff tear, shoulder impingement

20% L. Hand

20% R. Hand

20% L. Arm

35% R. Arm

Teague

Surgery – the first surgery consisted of a right carpal tunnel release followed by a left carpal tunnel release.  The employee then underwent a release of the ulnar compressive neuropathy at the left elbow.  The employee then underwent a release of the ulnar compressive neuropathy at the right elbow.  Right shoulder surgery consisted of a right shoulder arthroscopic acromioplasty, open distal clavicle excision and debridement of the rotator cuff, acromioplasty.  Open removal of the acromion.  Ultimately the employee was released without restrictions.  The employee has bilateral elbow weakness.  Simple activities makes her elbows feel worn out.  She has limited right shoulder motion, loss of strength.  She has ongoing weakness and discomfort in her hands.  TTD 92 2/7 weeks

Age/Occupation:  41 / Tire builder

Panel:  Dauphin, Gore;

Concurrence and Dissent:  Lindsay

0456

Right elbow lateral epicondylitis, recurrent right lateral epicondylitis, radial tunnel syndrome, right cubital tunnel syndrome

55% R. Arm

- 30% Credit

25% R. Arm

White

The employee filed five claims for repetitive trauma injuries to the left elbow.  Award was made for all cases in this claim.  Surgery consisted of a release of the right lateral epicondyle, excision of abnormal tissue and repair.  The second surgery consisted of fasciotomy and partial ostectomy right lateral epicondyle, release of the right radial tunnel and release of the right cubital tunnel.  The third surgery consisted of anterior submuscular transposition of the right ulnar nerve and release of the right wrist ulnar nerve.  TTD 84 weeks

Age/Occupation:  42 / Building service

Panel:  Mason, Dauphin, Lindsay

         

0601

Elbows – bilateral cubital tunnel syndrome

15% R. Arm

15% L. Arm

Dibble

Surgery consisted of a left cubital tunnel release followed by a right cubital tunnel release.  The employee testified that she is still having some discomfort.  The employee returned to work. TTD n/a   Age/Occupation:  35 / Prison grievance officer

Panel:  Gore, DeMunno, Basurto

0637

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome.  Right hand dominant

20% R. Hand

20% L. Hand

20% R. Arm

2.5% L. Arm

Teague

Surgeries consisted of a right carpal tunnel release and a right elbow ulnar nerve release.  A second surgery consisted of a left carpal tunnel release.  No surgery was performed on the left elbow.  The employee testified that she primarily experiences weakness, particularly in the right hand.

TTD 5 6/7 weeks

Age/Occupation:  53 / Office manager

Panel:  Basurto, DeMunno, Gore

         

0644

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% L. Hand

20% R. Hand

15% R. Arm

20% L. Arm

(no accident date)

White

Surgeries consisted of bilateral carpal tunnel releases and bilateral cubital tunnel releases.  The employee testified regarding her left upper extremity that her index finger locks up and pops.  She experiences numbness and tingling in her left hand and arm.  Regarding her right upper extremity, the employee’s right hand goes numb and goes to sleep.

TTD 14 2/7 weeks

Age/Occupation:  69 / Factory employee

Panel:  Tyrell, Donohoo; Dissent:  Lamborn

         

0669

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

17.5% R. Hand

17.5% L. Hand

20% R. Arm

20% L. Arm

Dibble

Surgery consisted of bilateral carpal and cubital tunnel releases.  The employee underwent a course of home exercises.  The employee testified that he notices pain across his scarring when trying to grip items, difficulty golfing and fishing. 

TTD 9 4/7 weeks

Age/Occupation:  50 / Correctional officer

Panel:  Donohoo, Mason; Dissent:  Lamborn

         

0670

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome; Neck – herniated disc @ C3-4, annular tear

17.5% R. Hand

17.5% L. Hand

20% R. Arm

20% L. Arm

Dibble

Surgeries consisted of left and right hand carpal tunnel releases and left elbow and right elbow cubital tunnel releases.  Neck surgery consisted of cervical spine surgery.  The employee returned to work without restrictions.  The employee’s hands display occasional numbness, as do his elbows.  He has difficulty lifting.  He has some limited range of neck motion.  TTD 26 4/7 weeks

Age/Occupation:  38 / Corrections officer

Panel:  Donohoo, Mason; Dissent: Lamborn

         

0802

Hands – bilateral carpal tunnel syndrome, bilateral ulnar nerve compression; Elbows – bilateral medial epicondylitis, ulnar neuropathy

25% L. Hand

25% R. Hand

25% R. Arm

25% L. Arm

Nalefski

Surgeries consisted of a left elbow flexor origin repair, right elbow flexor origin repair.  Hand surgeries consisted of a right carpal tunnel release, right Guyon’s canal release and a right ulnar nerve release at the elbow.  The employee also underwent a similar surgery on his left hand and elbow.  The employee returned to work.  He currently complains of constant numbness into his right elbow, occasional right arm numbness, with similar left arm complaints and tingling in his fourth and fifth fingers.

Age/Occupation:  37 / Machine operator

Panel:  Mason, Dauphin; Dissent:  Lindsay

         

0903

Left hand carpal tunnel syndrome; Left arm cubital tunnel syndrome; Neck/back sprain

15% L. Hand

15% L. Arm

5% MAW

O’Malley

Surgery consisted of a left carpal tunnel release and a left ulnar nerve transposition.  The employee was released without restrictions.  The employee experiences difficulties with daily activities such as a lifting and carrying.   TTD 26 4/7 weeks

Age/Occupation:  48 / Bank employee

Panel:  Basurto, DeMunno, Gore

         

0970

Right shoulder impingement; Right elbow cubital tunnel syndrome; Left elbow cubital tunnel syndrome

37.5% R. Arm

20% L. Arm

Nalefski

The first surgery consisted of a subacromial decompression, bursectomy and acromioplasty with a distal clavical excision of the right shoulder.  The second surgery consisted of a right cubital tunnel release with an ulnar nerve transposition.  The third surgery consisted of a left cubital tunnel release and an ulnar nerve transposition.  TTD paid.

Age/Occupation:  48 / ___

Panel:  Gore, DeMunno, Basurto

0979

Left elbow lateral epicondylitis, cubital tunnel syndrome; Left hand carpal tunnel syndrome

22.5% L. Arm

17.5% L. Hand

Teague

Surgery consisted of a left carpal tunnel release, left cubital tunnel release, left Guyon release and left lateral epicondylectomy.  The employee underwent physical therapy.  The employee testified that he continues to have some problems and difficulties.  His left hand grip is weaker with decreased wrist strength.  He returned to his job.  TTD 10 weeks

Age/Occupation:  41 / Tire processor

Panel:  Basurto, DeMunno, Gore

         
         

2010 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

2010 Decisions

Case #

10-IWCC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0021

Hands-bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

18% L. Hand

18% R. Hand

20% L. Arm

17.5% R. Arm

White

Surgery consisted of left carpal tunnel release and cubital tunnel release followed by a right carpal tunnel release and right cubital tunnel release. The employee was released to return to work in the same position without restrictions. He has a bump on his left elbow. Both hands get fatigued when driving and the employee has stiffness in his hands with additional associated symptoms. TTD 35 3/7 weeks

Age/Occupation: 39 / Factory employee

Panel: Mason; Dauphin, Lindsay

         

0076

Hands – bilateral carpal tunnel syndrome; Right elbow – cubital tunnel syndrome

20% R. Hand

20% L. Hand

17.5% R. Arm

Nalefski

Surgeries consisted of a left carpal tunnel release. The second surgery consisted of a right carpal tunnel release and a right ulnar release at the elbow level. The employee returned to his job as a furnace operator. His present symptoms include continued decrease in hand strength. TTD 6 1/7 weeks

Age/Occupation: 38 / Furnace operator

Panel: Lamborn, Sherman, Rink

         

0091

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% L. Hand

20% R. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgeries consisted of a right carpal tunnel release and right cubital tunnel release followed by a left carpal tunnel release and left cubital tunnel release. The employee’s hands ache and cramp daily. She has some loss of dexterity, worse on the right. She feels pain on the medial aspect of both elbows almost daily. TTD 10 weeks

Age/Occupation: Load packer

Panel: Rink, Sherman, Lamborn

         

0181

Hand – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a left carpal tunnel release and left cubital tunnel release. The second surgery consisted of a right carpal tunnel release and right cubital tunnel release. The employee was released without restrictions. He has fatigue in his arms.

TTD 11 4/7 weeks

Age/Occupation: __ / Operator assistant

Panel: Mason, Dauphin; Dissent: Lindsay

         

0306

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

20% L. Arm

22.5% R. Arm

Nalefski

Surgeries consisted of a left carpal tunnel release and left ulnar nerve release at the elbow. The second surgery consisted of a right carpal tunnel release and right ulnar nerve release and transposition at the elbow. Following surgery the employee was diagnosed with recurrent right cubital tunnel syndrome. A third surgery consisted of a re-exploration and neurolysis of the right ulnar nerve.

The employee was released to return to work without restrictions. The employee’s hands get numb with repetitive work, loss of strength, elbows are tender.

TTD 18 5/7 weeks

Age/Occupation: 39 / Adjuster

Panel: Mason, Dauphin; Dissent: Lindsay

         

0406

Left elbow dislocation, cubital tunnel syndrome, ulnar nerve; Left Shoulder impingement; Head trauma – scar 3-4 cm, raised 3/8

2.5% MAW for headaches

45% L. Arm

20 weeks disfig.

 

Elbow surgery consisted of a cubital tunnel release and anterior ulnar nerve transposition followed by physical therapy. The employee was released with no restrictions. The employee has post traumatic headaches two to three times a week, 7 or 8 on a 10 scale. He has difficulty lifting over 50 lbs. He has pain and discomfort in his left arm when lifting. Arm is painful in cold weather and with weather changes.

TTD 32 weeks. Age/Occupation: 41 / ___

Panel: DeMunno, Basurto, Gore

         

0566

Left Hip – aggravation of pre-existing arthritis; Left Elbow cubital tunnel syndrome

50% L. Leg

20% L. Arm

O’Malley

Hip surgery consisted of a left total hip arthroplasty. Left elbow surgery consisted of a left ulnar nerve transposition. The employee testified that after work his elbow has stiffness and pain. He has difficulty walking without pain. TTD 48 3/7 weeks

Age/Occupation: 59 / ___

Panel: Basurto, DeMunno, Gore

         

0693

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

20% L. Arm

20% R. Arm

(25% R. Arm

20% L. Hand

20% R. Hand

20% L. Arm)

Nalefski

Surgery consisted of a right carpal tunnel release and right cubital tunnel release. The second surgery consisted of a left carpal tunnel release and left cubital tunnel release. The employee currently experiences decreased grip strength in both hands and a “giving away” sensation and numbness when lifting. He has loss of muscle tone in the forearms with weakness at the elbows with associated difficulty performing tasks with hands and arms.

TTD 10 6/7 weeks

Age/Occupation: 28 / Adjuster

Panel: Basurto, Gore, Carlson

         

0720

Left elbow ulnar neuropathy

25% L. Arm

Nalefski

Surgery consisted of a left cubital tunnel release with an anterior submuscular transposition of the ulnar nerve with myofascial lengthening of the flexor pronator tendon origin. The employee still has numbness and weakness in the ring and little fingers. TTD n/a Age/Occupation: 55 / Crane operator

Panel: Mason, Donohoo; Dissent: Lindsay

         

0832

Hands – bilateral carpal tunnel syndrome; Left elbow – cubital tunnel syndrome; Left hand dominant

20% L. Hand

20% R. H and

20% L. Arm

Nalefski

Hand surgery consisted of a left carpal tunnel release followed by a right carpal tunnel release. Left elbow surgery consisted of a left cubital tunnel surgery followed by physical therapy and work hardening. The employee testified that he has left elbow pain. He experiences cramps in his hands with weakness.

TTD n/a Age/Occupation: 45 / Adjuster II
Panel: Fratianni, Basurto, Gore

         

0861

Right hand – contusion and sprain; Right arm – cubital tunnel syndrome

10% R. Hand

15% R. Arm

(10% R. Hand)

(No C/C to elbow)

Kinnaman

Surgery consisted of an ulnar nerve transposition followed by physical therapy. The employee received a corticosteroid injection in her wrist and in her cubital tunnel. She returned to full duty work. TTD

Age/Occupation: 29 / Patient transporter

Panel: Sherman, Dauphin; Dissent: Lamborn

         

0888

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

22.5% R. Hand

22.5% L. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgery consisted of a right carpal tunnel release followed by a left carpal tunnel release. Elbow surgeries consisted of a right cubital tunnel release followed by a left cubital tunnel release. The employee testified that she has bilateral numbness and tingling at the surgical sites, loss of grip strength bilaterally and loss of range of motion. She has bilateral elbow pain. TTD 8 6/7 weeks

Age/Occupation: 38 / Assembly line employee

Panel: Basurto, Fratianni, Gore

         

0940

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome; Right shoulder – rotator cuff tear, labrum tear; Left thumb – degenerative arthritis of the CMC joint

20% R. Hand

20% L. Hand

20% L. Arm

35% R. Arm

10% L. Thumb

Nalefski

Surgery consisted of left carpal and cubital tunnel releases followed by right carpal and cubital tunnel releases. Right shoulder surgery consisted of addressing rotator cuff tear (not described). The employee complains of stiffness, numbness and loss of strength in both hands. Sensitivity and numbness in both elbows, right shoulder pain and left thumb pain. The employee is no longer able to bow hunt.

TTD 28 weeks

Age/Occupation: Chemical factory employee

Panel: Lamborn, Sherman, Dauphin

         

1049

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome; Right shoulder – impingement syndrome

20% L. Hand

20% R. Hand

25% R. Arm

15% L. Arm

Nalefski

Surgeries consisted of a right carpal tunnel release, right ulnar nerve transposition, and right shoulder open anterior acromioplasty. A left carpal tunnel release was performed. The employee was released to full duty work. He testified that the tingling in his hands and fingers had subsided. He cannot lean on his elbows as the pressure causes pain. He has no right shoulder pain but loss of strength.

TTD 22 6/7 weeks

Age/Occupation: 33 / Adjuster

Panel: Sherman, Lamborn, Dauphin

         

1082

Elbows – bilateral ulnar neuropathies

20% L. Arm

25% R. Arm

Nalefski

Surgery consisted of a right ulnar nerve decompression followed by a left ulnar nerve decompression. The employee is working full duty. She takes over the counter Tylenol. Her complaints include pain in her hands and elbows. TTD paid

Age/Occupation: 52 / Quality control employee

Panel: DeMunno, Basurto, Gore

         

1206

Elbows – bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

(No C/C)

Holland

Surgery consisted of a left ulnar transposition followed by a right ulnar transposition. The employee testified that he has a little bit of numbness in his fingers once in awhile and some weakness in both hands. TTD 20 5/7 weeks

Age/Occupation: 49 / Pressman

Panel: Dauphin, Gore; Dissent: Lamborn

         

1241

Right hand – carpal tunnel syndrome; DePuytren’s disease, thumb contracture, Right elbow – cubital tunnel syndrome; Right shoulder tendonopathy

15% R. Hand

25% R. Arm

-15% credit

15% R. Arm

Mathis

Surgery consisted of a right palmar and digital fasciectomy involving the right ring finger, palm and thumb; endoscopic decompression of the right median nerve and neurolysis of the right ulnar nerve. The employee underwent physical therapy for his shoulder injury. The employee has mild numbness in his right hand and some loss of strength. He has occasional shoulder pain. TTD 4 6/7 weeks

Age/Occupation: 59 / Assembly line inspector

Panel: Mason, Donohoo; Dissent: Lindsay

2009 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

2009 Decisions

Case #

09-IWCC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0042

Right shoulder - labral tear, partial tear of subscapularis tendon, high grade partial thickness tear.  Hand - bilateral carpal tunnel syndrome.  Elbows - bilateral cubital tunnel syndrome

35% R. Arm (shoulder); 15% R. Arm 15% L. Arm 17.5% R. Hand; 15% L. Hand

(55% R. Arm; 20% L. Hand; 20% R. Hand; 20% R. Arm)

Teague

Surgeries consisted of a right ulnar nerve transposition and right carpal tunnel release followed by a left carpal tunnel release and left ulnar nerve transposition.  Right shoulder surgery was performed to repair tears.  The employee underwent physical therapy and returned to full duty work after treatment.  The employee has overall improved condition in his arms, hands and right shoulder.  TTD 19 3/7 weeks

Age/Occupation:  41 / Station attendant

Panel:  Sherman, Dauphin, Lamborn

         

0276

Hands - bilateral carpal tunnel syndrome.  Elbows - bilateral cubital tunnel syndrome

15% R. Hand

5% L. Hand

17.5% R. Arm; 17.5% L. Arm

(10% Each Hand; 15% Each Arm)

Carlson

Surgeries consisted of a medial epicondylectomy of the right elbow, a right carpal tunnel release with neurolysis of the median and ulnar nerve.  A second surgery consisted of a medial epicondylectomy of the left elbow and neurolysis of the ulnar nerve at the left elbow.  The employee underwent physical therapy.  The employee returned to work.  No surgery was performed on the left hand.  TTD 24 4/7 weeks

Age/Occupation:  61 / Die cutting pressman

Panel:  Lindsay, Mason, Dauphin

         

0329

Elbows - bilateral cubital tunnel syndrome; Right hand - carpal tunnel syndrome, ganglion cyst, synovitis. Left hand - carpal tunnel syndrome.  ECU subluxation (extensor carpi ulnaris tendon)

20% R. Arm

20% L. Arm

25% R. Hand

30% L. Hand

Nalefski

Surgeries consisted of a right cubital tunnel surgery.  Left hand surgery was performed to correct a dislocated extensor carpi ulnaris tendon of the left wrist.  The employee is currently working full duty as an adjuster.  She still experiences numbness around the elbow scars, problems with her left wrist when it rains, loss of range of motion with both wrists.  She has a popping in the top of the right wrist which causes pain at times.  TTD 56 weeks.

Age/Occupation:  40 / Adjuster ____

Panel:  Gore, DeMunno, Basurto

         

0437

Hands - bilateral carpal tunnel syndrome.  Elbows - bilateral lateral epicondylitis, ulnar nerve entrapment.  Right hand dominant

22.5% L. Arm; 5% R. Arm; 22% L. Hand; 22% R. Hand

Tobin

Surgeries consisted of a left carpal tunnel release and left ulnar nerve transposition.  A second surgery consisted of a right carpal tunnel release.  The employee continues to experience weakness in both hands, difficulty handling small objects, hands cramping, weakness and loss of stamina. 

TTD 16 4/7 weeks

Age/Occupation:  37 / ____operator - tire maker

Panel:  Rink, Sherman, Lamborn

         

0827

Hands - bilateral carpal tunnel syndrome.  Elbows - bilateral carpal tunnel syndrome

12.5% R. Hand; 12.5% L. Hand; 12.5% R. Arm; 12.5% L. Arm

(15% R. Hand; 15% L. Hand; 15% R. Arm; 15% L. Arm)

Neal

Surgery consisted of a right endoscopic carpal tunnel release and a right anterior transposition of the ulnar nerve at the elbow.  A second surgery consisted of an endoscopic carpal tunnel release of the right hand.  The employee testified that except for the surgical scars, she currently feels as good as before her complaints began. 

TTD 10 weeks

Age/Occupation:  41 / Housekeeper

Panel:  DeMunno, Basurto, Gore

         

0929

Hands-bilateral carpal tunnel syndrome.  Elbows - bilateral cubital tunnel syndrome.  Left lateral epicondylitis.  Right shoulder impingement syndrome

20% R. Hand 40% R. Arm 20% L. Hand

27.5% L. Arm

Tobin

Multiple surgeries.  The employee underwent a left carpal tunnel release and a left cubital release.  The employee underwent a right carpal tunnel release and a right cubital tunnel release.  Shoulder surgery consisted of a diagnostic arthroscopy, SLAP repair of a type II SLAP lesion, debridement and excision of paralabral cyst, mumford procedure, and decompression and bursectomy.  Left elbow surgery consisted of a left lateral epicondylectomy and fasciectomy.  The employee has difficulty gripping and grasping with his hands.  He has loss of strength and range of motion of his elbows.  His left shoulder injury causes difficulty lifting, pushing or pulling.

TTD 22 6/7 weeks

Age/Occupation:  42/ Tire builder

Panel:  Rink, Sherman, Lamborn

         

0933

Hands - bilateral carpal tunnel syndrome.  Elbows - bilateral cubital tunnel syndrome

20% R. Hand; 20% L. Hand; 20% R. Arm; 20% L. Arm

Nalefski

Surgery consisted of a right carpal tunnel release and right cubital tunnel release.  Later, the employee underwent a left carpal tunnel release and cubital tunnel release.  The employee testified to numbness and tingling of his fingers when using tools and a number of problems with hand/arm activities.

TTD 4 2/7 weeks

Age/Occupation:  44 / Chemical factory employee

Panel:  Sherman, Rink, Lamborn

         

0943

Hands - bilateral cubital tunnel syndrome.  Elbows - bilateral carpal tunnel syndrome

22.5% R. Hand; 22.5% L. Hand; 20% R. Arm; 20% L. Arm

Nalefski

Surgeries consisted of a right carpal tunnel release, a right guyon’s canal release at the wrist and a right cubital tunnel release at the elbow.  The employee then underwent a left carpal tunnel release, a left guyon’s canal release and right cubital tunnel release.  The employee returned to her regular job performing regular duties.  She has weakness in her hands and elbows.  TTD N/A

Age/Occupation:  60 / Loader/packer

Panel:  DeMunno, Basurto, Gore

         

1287

Hands - recurrent bilateral carpal tunnel syndrome.  Left Arm - recurrent ulnar nerve neuropathy.  Right arm - ulnar nerve neuropathy

7.5% R. Hand new money; 5% L. Hand new money; 2.5% L. Arm new money; 20% R. Arm

Teague

Surgery consisted of a right carpal tunnel release and ulnar tunnel release.  A second surgery consisted of a left carpal tunnel release and ulnar tunnel release.  The symptoms were fully resolved.  The numbness and tingling resolved.  TTD 4 6/7 weeks

Age/Occupation:  48 / Operator

Panel:  Lindsay, Mason, Dauphin

         

1292

Hands - bilateral carpal tunnel syndrome.  Elbows - bilateral cubital tunnel syndrome.  Left shoulder impingement

40% L. Arm 22.5% R. Arm; 15% L. hand; 17.5% R. Hand

(40% L. Arm 25% R. Arm 20% Each Hand)

Tobin

Surgeries consisted of a left carpal tunnel release and cubital tunnel release.  Another surgery consisted of a right carpal tunnel release and right cubital tunnel release.  Left shoulder surgery consisted of arthroscopic surgery, subacromial decompression and distal clavicle resection.  The employee has loss of grip strength in both hands and numbness with pain in parts of his forearm.  He has loss of strength in both arms.  He has a painful knot on the top of the shoulder.  TTD N/A

Age/Occupation:  36 / Tire builder

Panel:  Mason, Dauphin; Dissent:  Lindsay

2008 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

               

2008 Decisions

Case #

08-IWCC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0045

Right hand – carpal tunnel syndrome; Right elbow – cubital tunnel syndrome, ulnar nerve problems.  Right hand dominant

25% R. Arm

22% R. Hand

Tobin

Surgeries.  Hand surgery consisted of a carpal tunnel release.  Elbow surgery consisted of a right cubital tunnel release, right lateral epicondylectomy and fasciotomy.  The employee was released to return to work following treatment.  The employee continues to have right elbow and right wrist pain.  Complaints include substantial discomfort performing job duties and home activities.  He has loss of hand and arm strength.  TTD paid

Age/Occupation:  37 / Floating stock trucker

Panel:  Rink, Mason; Dissent: Lindsay

         

0077

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

20% R. Arm

20% L. Arm

Tobin

Surgeries consisted of a left carpal tunnel release and release of ulnar compressive neuropathy at the left elbow.  Followed by a right carpal tunnel release, release of the Guyon’s canal and release of ulnar compressive neuropathy of the right elbow.  The employee now experiences loss of strength of both hands and elbows, loss of sensation in his hands, increased with weather changes and other related problems.  He returned to his job.  TTD paid

Age/Occupation:  48 / tire processor

Panel:  Rink, Lindsay, Mason

         

0495

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral ulnar nerve compression

20% R. Arm

22% R. Hand

20% L. Arm

22% L. Hand

Tobin

Surgeries consisted of a right carpal tunnel release and release of the ulnar nerve.  A second surgery consisted of a left carpal tunnel release and release of the ulnar compressive neuropathy.  After treatment, the employee was released without restrictions.  The employee has tingling and numbness in both hands, difficulty sleeping, loss of strength in both hands and arms and other associated problems.  TTD paid.

Age/Occupation:  36 / Tire builder

Panel:  Gore, DeMunno, Basurto

         

0006

Hand – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% L.  Hand

20% R. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgeries consisted of a right carpal tunnel release, a left carpal tunnel release, a right ulnar nerve release and a left ulnar nerve release.  The employee bid into a less strenuous job because of ongoing upper extremity symptoms.  TTD 28 4/7 weeks

Age/Occupation:  39 / Prime mixer

Panel:  Rink, Lindsay, Mason

         

0496

L. Elbow ulnar neuropathy; Right elbow.  Left hand dominant

23% L. Arm

5% R. Arm

Tobin

Left elbow surgery consisted of a release of the ulnar compressive neuropathy and epicondylectomy.  Right elbow treatment consisted of a splint, elbow sleeve.  The employee has residual pain in both elbows.  The left arm aches and hurts, tenderness in the right arm, difficulty holding objects, and other related problems.  TTD --  Age/Occupation:  47 / Tire builder

Panel:  Gore, DeMunno, Basurto

         

0674

Shoulder impingement.  Elbow – cubital tunnel syndrome.  2 cases consolidated for hearing

07WC8461-L. elbow

07WC8588 – Shoulder

22.5% L. Arm (shoulder)

27.5% L. Arm (elbow)

(30% L. Arm; 27.5% L. Arm)

Tobin

Elbow surgeries consisted of an ulnar nerve transposition.  The second surgery consisted of address of the left elbow cubital tunnel surgery.  Shoulder surgeries consisted of a surgical repair of a SLAP lesion, acromial decompression and resection of the distal clavicle.  The second shoulder surgery consisted of repair of the SLAP tear with anchors and repair of a partial rotator cuff tear.  The employee was eventually released without restrictions.  He has difficulties with his elbow and shoulder.

TTD 30 weeks.  Age/Occupation:  41 / Dairy worker

Panel:  DeMunno, Basurto, Gore

         

0777

Elbows – cubital tunnel syndrome, ulnar neuropathy.  No left elbow surgery

22.5% R. Arm

7.5% L. Arm

Falcioni

Right elbow surgery consisted of a right cubital tunnel surgery.  The employee developed a hematoma which was surgically evacuated.  Because of the difficulty with right elbow surgery, the employee opted not to undergo left elbow surgery.  The employee testified that she has ongoing pain in both elbows.  She has a 10”  scar the size of a lead pencil.

TTD 4 2/7 weeks

Age/Occupation:  62 / Assembly line employee

Panel:  Gore, DeMunno, Basurto

         

0965

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Arm

20% L. Arm

20% R. Hand

20% L. Hand

Tobin

Surgery consisted of a left carpal tunnel release and left cubital tunnel release with anterior submuscular transposition of the ulnar nerve.  A second surgery consisted of a right carpal tunnel release and right cubital tunnel release.  The employee underwent a course of physical therapy.  Eventually the employee returned to his regular duties.  He has pain and discomfort in both hands with difficulty using hand tools and other activities.  He has increased symptoms in both elbows.  He has daily elbow and hand pain.

TTD paid.  Age/Occupation:  41 / Tire builder

Panel:  Rink, Mason; Dissent:  Lindsay

         

1082

Hands – bilateral carpal tunnel syndromes. Elbows – bilateral cubital tunnel syndrome.  Right hand dominant

20% L. Arm

20% R. Arm

20% L. Hand

20% R. Hand

Tobin

Surgeries consisted of a right cubital tunnel release and submuscular transposition and a right carpal tunnel release.  A second surgery consisted of a left cubital tunnel release with an anterior submuscular transposition and a left carpal tunnel release.  The employee was released to return to his previous job.  He is able to perform his work duties with a full duty release.  He has continuing complaints such as pain and tenderness.  TTD

Age/Occupation:  __ / Tire mfg. employee

Panel:  Mason, Rink; Dissent: Lindsay

         

1091

L. Hand – carpal tunnel syndrome. L. Elbow – cubital tunnel syndrome. L. Thumb – trigger thumb

15% L. Arm

15% L. Hand

15% L. Thumb

Neal

Surgery consisted of surgery for left cubital tunnel syndrome, left carpal tunnel syndrome and a left trigger thumb release.  The employee complains of occasional swelling in her left elbow.  She is able to perform all of her job duties and returned to work without restrictions.  TTD 11 6/7 weeks

Age/Occupation:  44 / Laundromat employee

Panel:  DeMunno, Basurto, Gore

         

1122

R. Elbow cubital tunnel syndrome; R. Hand recurrent carpal tunnel syndrome; L. Hand – recurrent carpal tunnel syndrome.  Right hand dominant

22.5% R. Arm

15% L. Hand

-15% credit

0% L. Hand

(22.5% R. Arm, 2.5% L. Hand)

Mathis

Right elbow surgery consisted of an ulnar nerve transposition along with neurolysis of the nerve.  Left hand surgery consisted of a carpal tunnel release with neurolysis of the median nerve.  The employee is no longer able to paint and she has problems doing yard work.  The Commission found that the injury did not increase her left hand disability.  TTD 2 weeks.

Age/Occupation:  56 / Teacher

Panel:  Sherman, Dauphin; Dissent: Lamborn

         

1405

L. Elbow cubital tunnel syndrome

30% L. Arm

 

Surgery consisted of cubital tunnel release surgery.  A second surgery consisted of transposition of the nerve.  The employee was released without restrictions regarding use of his left arm.  The employee continues to have numbness, pain and weakness.  TTD 23 6/7 weeks.

Age/Occupation:  34 / Laborer

Panel:  DeMunno, Basurto, Gore

         

1462

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral ulnar neuropathy, cubital tunnel syndrome, Guyon’s canal entrapment

20% R. Arm

22% L. Arm

20% R. Hand

20% L. Hand

Tobin

Two surgeries.  The first surgery consisted of a right carpal tunnel release, right Guyon’s canal release and ulnar compressive neuropathy release.  The second surgery consisted of a left carpal tunnel release and ulnar compressive neuropathy release.  The employee has difficulties with both hands and elbows.  He has difficulty with enumerated activities. 

TTD 11 2/7 weeks. 

Age/Occupation:  39 / Tire builder

Panel:  Mason, Rink, Lindsay

         
         

2007 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

               

2007 Decisions

Case #

07-IIC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0052

Hands – carpal tunnel syndrome; Arm – radial tunnel syndrome

20% R. Arm

20% R. Hand

Nalefski

Surgery consisted of an open decompression of the right radial tunnel and a right open carpal tunnel release.  The employee was released to full duty.  The employee has decreased grip strength, occasional cramping and loss of dexterity in her right hand.  She occasionally drops items.  TTD 1 2/7 weeks.

Age/Occupation:  48 / Data entry worker

Panel:  Dauphin, Sherman; Dissent:  Ulrich

0178

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

18% L. Arm

18% R. Arm

Tobin

Surgery consisted of a right carpal tunnel release and right cubital tunnel release.  Additional surgery consisted of a left carpal tunnel release and left cubital tunnel release.  The employee continues to have problems with both his hands and elbows.  His wrists occasionally lock up with elbow tenderness.  TTD paid.  Age/Occupation:  43 / Tire builder

Panel:  Gore, Rink, Basurto

0205

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndreom

20% R. Hand

20% L. Hand

20% R. Arm

20% L. Arm

Tobin

Surgery consisted of a right carpal tunnel release and right cubital tunnel release.  Later, a left carpal tunnel release and left cubital tunnel release was performed followed by physical therapy.  The employee experiences pain in both her hands and elbows.  She has loss of grip strength.  Her hands and arms tire easily.  TTD paid.  Age/Occupation:  34 / Tire builder

Panel:  DeMunno, Pigott,

Concurrence and Dissent:  Lindsay

0282

Elbow – right radial tunnel syndrome

10% Arm

White

Surgery consisted of a right radial tunnel nerve and radial tunnel release.  The employee was released to regular work duties.  He continues to have some soreness, tenderness, numbness and tingling in his right elbow.  He had prior work related lateral epicondylitis and was awarded 15% arm in that case.  TTD paid.    Age/Occupation:  50 / Machine operator

Panel:  Sherman, Ulrich, Dauphin

0313

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% R. Hand

20% L. Hand

20% R. Arm

20% L. Arm

(25% R. Hand

25% L. Hand

25% R. Arm

25% L. Arm)

Nalefski

Surgery consisted of a right carpal and ulnar tunnel release and right cubital tunnel with an ulnar nerve release.  A second surgery consisted of a left carpal and ulnar tunnel release and a left cubital tunnel release with a submuscular transposition at the elbow.  After treatment, the employee was released to regular work duties.  He has elbow pain after working, numbness in both hands and loss of sensation in left palm.  TTD 8 2/7 weeks.

Age/Occupation:  44 / Steel plant employee

Panel:  Dauphin, Sherman, Ulrich

0326

Bilateral carpal tunnel syndrome; Left ulnar neuropathy; left radial sensory neuropathy

35% L. Hand

30% R. Hand

25% L. Arm

Lee

Surgeries.  A carpal tunnel release was performed December 10, 1999 and a release of the left radial nerve was performed on January 28, 2000.  A right carpal tunnel and a right radial nerve release was performed on February 25, 2000.  A right Guyon’s tunnel release was performed on June 23, 2000.  A left Guyon’s release was performed on August 11, 2000.  The employee notices tingling in the left arm and sporadic tingling in the right arm.  Both hands get sore with certain activities.  TTD ___

Panel:  Pigott, DeMunno, Lindsay

0921

Right hand – deQuervain’s syndrome; Right elbow – ulnar neuropathy

20% R. Arm

7.5% R. Hand

White

Elbow surgery consisted of an anterior transposition of the ulnar nerve at the elbow.  The employee received two injections to treat the deQuervain’s syndrome.  The employee was released to full duty work.  He has popping in his wrist and complaints associated with his ulnar neuropathy.  TTD 4 5/7 weeks.  Age/Occupation:  22 / Foundry employee

Panel:  Rink, Basurto, Gore

0485

Elbows – bilateral cubital tunnel syndrome

22% L. Arm

20% R. Arm

 

Surgery consisted of a right ulnar nerve transposition followed a left ulnar nerve transposition.  The employee resigned his job in part due to difficulties he was having with his arms.  He still has aching pain in both of his arms and elbows with swelling at the surgical sites.  He has difficulty with household difficulties and other complaints.  TTD

Age/Occupation:  39 / Tire builder

Panel:  Dauphin, Sherman, Ulrich

0503

Elbows – bilateral chronic medial spicondylitis and ulnar neuropathy

22.5% R. Arm

22.5% L. Arm

Tobin

Surgery – right elbow surgery consisted of a release of the ulnar nerve with a flexor origin repair.  Left elbow surgery consisted of a release of compressive neuropathy of the ulnar nerve with a flexor original repair of the left elbow followed by physical therapy.  The employee continues to experience pain and tenderness in both elbows.  She has difficulty performing household duties and difficulty performing certain job duties.  TTD 37 weeks.

Age/Occupation:  29 / Tire builder

Panel:  Sherman, Dauphin

0671

Elbow – cubital tunnel syndrome

15% Arm

Kane

Surgery consisted of cubital tunnel surgery.  The employee testified that she had good results from the surgery and has been without any specific problems since surgery.  She performs her work duties without difficulty.  TTD 24 weeks.

Age/Occupation:  32 / Financial services rep.

Panel:  Pigott, DeMunno, Lindsay

0857

Hand – bilateral carpal tunnel syndrome; Elbows – bilateral ulnar neuropathies

20% R. Arm

18% L. Arm

22% R. Hand

20% L. Hand

Tobin

Surgeries consisted of a release of the right carpal tunnel and release of ulnar compressive neuropathy of the right elbow.  A second surgery consisted of a left carpal tunnel release and release of ulnar compressive neuropathy at the left elbow.  The employee experiences aching pain and tenderness in both hands and a tingling sensation in his elbows.  He has difficulty opening jars and sensitivity with weather changes.  He left his job position at least in part due to his upper extremities problems.  TTD paid.

Age/Occupation:  46 / Palletizer

Panel:  Gore, Rink, Basurto

1239

Left elbow – synovitis and post traumatic contracture

20% L. Arm

(22.5% L. Arm)

Black

Surgery consisted of an arthroscopy and debridement of the anterior capsule followed by physical therapy.  After treatment the employee was released to full duty.  He has decreased range of motion and a substantial loss of grip strength.  He has left arm pain and cannot completely straighten his arm, affecting his job as a gymnastics instructor.  TTD 22 6/7 weeks

Age/Occupation:  21 / Gymnastics instructor

Panel:  DeMunno, Basurto, Gore

1303

Hands – bilateral carpal tunnel syndrome; Elbow – bilateral cubital tunnel syndrome; Guyon’s entrapment

22% R. Hand

22% L. Hand

20% R. Arm

20% L. Arm

 

Surgeries consisted of a release of the left carpal tunnel, release of the Guyon’s canal, and release of the ulnar compressive neuropathy at the left elbow.  The second surgery consisted of a release of the right carpal tunnel and release of the ulnar neuropathy at the right elbow.  The employee has loss of grip strength in her hands.  The palms of her hands are numb.  She has difficulty with daily activities.  She has tenderness and loss of strength in her elbows. 

TTD paid.  Age/Occupation:  48 / Tire steelastic operator.  Panel:  Dauphin, Sherman, Lamborn

1321

Hands – bilateral carpal tunnel syndrome; Right elbow – cubital tunnel syndrome; Right hand dominant

25% R. H and

22.5% L. Hand

20% R. Arm

Nalefski

Surgery consisted of a right carpal tunnel release, a release of the ulnar nerve at Guyon’s canal at the wrist and a seromuscular transfer of the right ulnar nerve.  A second surgery consisted of a left carpal tunnel release and a left Guyon’s canal decompression.  The employee was released without restrictions.  He has decreased strength, numbness and tingling in his right hand and arm.  He has decreased strength in his left hand.  TTD n/a

Age/Occupation:  53 / Anneal operator

Panel:  Lamborn, Sherman, Dauphin

1327

Elbow – right cubital tunnel syndrome and lateral epicondylitis

22.5% R. Arm

(27.5% R. Arm)

Teague

Surgery consisted of a right epicondylectomy and anterior submuscular transposition of the ulnar nerve with medial release.  The employee was released to full duty work.  He currently has a sharp pain in his right elbow and regular swelling.  TTD 17 1/7 weeks.

Age/Occupation:  34 / Block operator

Panel:  DeMunno, Basurto, Gore

1370

Elbows – bilateral cubital tunnel syndrome.  Shoulders – bilateral shoulder impingement syndrome

40% L. Arm

20% R. Arm

Tobin

Elbow surgeries consisted of a left ulnar nerve transposition followed by a right ulnar nerve transposition.  Left shoulder surgery consisted of an arthroscopic subacromial decompression and arthroscopic distal clavicle excision followed by physical therapy.  Ther employee currently experiences problems with both upper extremities.  He returned to his job.  He has difficulty with work and daily living activities.  TTD 24 6/7 weeks.

Age/Occupation:  36 / Compound blender

Panel:  Mason, Rink, Lindsay

1481

Left arm tardy ulnar palsy.  Right hand dominant

55% L. Arm

(75% L. Arm)

Teague

Two surgeries.  The first surgery consisted of an ulnar transposition.  The second surgery consisted of a left ulnar transposition revision with a carpal tunnel release.  A permanent ulnar nerve stimulator was implanted.  The employee has a permanent 40 lb. weight restriction with his left arm.  He returned to work.  He experiences left arm numbness, his hand cramps.  Lifting objects is difficult.  TTD 27 weeks.

Age/Occupation:  __ / heavy equipment operator

Panel:  Basurto, DeMunno, Gore

1542

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome, ulnar neuropathy

22% L. Hand

20% R. Hand

22.5% L. Arm

5% R. Arm

Tobin

Surgeries consisted of a left carpal tunnel release and left anterior subcutaneous transposition of the ulnar nerve.  Later, a right carpal tunnel release was performed.  No surgery on right elbow.  The employee testified to a multitude of current problems with his hands and arms.  TTD paid.

Age/Occupation:  46 / Mixer operator

Panel:  Mason, Rink, Lindsay

1604

Hands – bilateral carpal tunnel syndrome; Arms – bilateral ulnar neuropathy.  Right hand dominant

17.5% R. Arm

17.5% R. Hand

15% L. Arm

15% L. Hand

(20% each Hand; 20% each Arm)

Teague

Surgeries consisted of a left ulnar nerve transposition and left carpal tunnel release followed by a right ulnar nerve transposition and right carpal tunnel release.  The employee improved but has occasional swelling and tenderness at the incisions and loss of grip strength in both hands.

TTD 3 6/7 weeks

Age/Occupation:  33 / ___

Panel:  Mason, Rink, Lindsay

2006 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

          

 

 

2006 Decisions

Case #

06-IIC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0050

Hands-bilateral carpal tunnel syndrome; Arms – bilateral ulnar nerve damage

17.5% L. Hand; 22.5% R. Hand; 22.5% R. Arm; 20% L. Arm

 

Two surgeries – consisted of a left carpal tunnel release and a release for ulnar compressive neuropathy.  The second surgery consisted of a right carpal tunnel release and a release of the compressive neuropathy of the right elbow.  The employee has pain in both hands and elbows, hands become cold easily, difficulty grasping and difficulty with work duties.  TTD paid.  Age/Occupation:  32 / Tire builder

Panel:  Pigott, DeMunno; Dissent;  Basurto

0075

Arm – left ulnar neuropathy across the cubital tunnel

17.5% L. Arm

Dibble

Surgery consisted of an anterior submuscular transposition of the ulnar nerve.  The employee was released to return to work without restrictions.  The employee testified to numbness, sensation changes, pain and decreased strength in the left arm.  TTD 13 weeks.  Age/Occupation:  33 / Factory worker

Panel:  Ulrich, Sherman, Rink

0227

Arms – bilateral ulnar neuropathy – right worse than left; left cubital tunnel syndrome

30% R. Arm

15% L. Arm

Falcioni

Right arm surgery consisted of a right ulnar nerve transposition.  The employee has residual impairments to the right hand including diminished sensation and health.  The employee returned to full duty work.  His elbow is tender with loss of dexterity and strength.  TTD 17 5/7 weeks.

Age/Occupation:  47 / Tool and Dye worker

Panel:  Pigott, DeMunno, Basurto

0240

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral ulnar neuropathies.  Ambidextrous

20% R. Hand

20% L. Hand

20% R. Arm

20% L. Arm

Nalefski

Surgeries consisted of a release of the carpal tunnel of the right hand and a release of the ulnar nerve of the right elbow.  A second surgery consisted of release of the carpal tunnel on the left hand and release of the left elbow.  The employee did well after the surgeries.  The employee returned to work with a full duty release.  His hands tingle, with loss of strength in his hands and arms.  Difficulty gripping.  TTD not at issue.  Age/Occupation:  ___ / Maintenance person

Panel:  Basurto, DeMunno, Pigott

0380

Hand – carpal tunnel syndrome; Arm – cubital tunnel syndrome.  Right hand dominant

25% L. Arm

Holland

Surgery consisted of surgical releases of both the carpal and cubital tunnel.  The employee has pain.  She is a little slower with her arm and hand and has loss of strength.  TTD 13 weeks.

Age/Occupation:  ___ / Pizza maker

Panel:  Basurto, DeMunno, Pigott

0381

Right hand – carpal tunnel syndrome; Right arm - cubital tunnel syndrome, ulnar nerve subluxation

20% R. Hand

32.5% R. Arm

Lammie

Surgery consisted of a right cubital tunnel release of the median nerve, a right ulnar nerve release with a submuscular transposition and an open carpal tunnel release.  The employee has trouble with tools and lifting lumber.  It is hard to get a “good grip”.  He no longer works on roofs.

Age/Occupation:  ___ / Carpenter

Panel:  Basurto, DeMunno, Pigott

0476

Elbow – cubital tunnel syndrome

50% Arm

Nalefski

3 elbow surgeries.  The first 2 surgeries consisted of ulnar nerve transpositions.  The third surgery consisted of a cubital tunnel release followed by physical therapy.  The employee suffered a subsequent accident and found totally disabled in 06 IWCC 477.  TTD 7 5/7 weeks.

Age/Occupation:  43 / Factory employee

Panel:  Ulrich, Sherman, Rink

0776

Elbows – bilateral ulnar nerve impingement

10% L. Arm

10% R. Arm

(20% L. Arm 20% R. Arm)

Nalefski

Surgery consisted of bilateral ulnar transpositions.  The employee testified that his symptoms have improved since the surgery with minimal symptomology.  Age/Occupation:  __/__

Panel:  Ulrich, Sherman, Rink

0778

Left wrist triangular fibrocartilage complex tear; Elbow – left radial nerve syndrome

20% L. Arm

15% L. Hand

Accident

Nalefski

Accident.  The employee entered the lunch room to fill a bottle of water.  As she exited the lunch room, she felt her foot hesitate, causing her to fall forward into a cubicle and then fall to the floor.  The lunch room floor was tile and the adjacent room was carpet.  A strip existed in the doorway.  The employee felt her foot slip at or near the area of the strip.  There was no defect in the floor.  The Commission inferred that the change from a tile to a carpeted floor contributed to the fall and presented a risk of injury.  The Commission also stated that it is not clear from Appellate Court decisions that unexplained falls are compensable.  Accident.  Nature & Extent.  Initially the employee was casted and treated with physical therapy.  Surgery consisted of a left radial nerve release.  The employee now complains of pain and decreased grip strength.  She has difficulty opening lids and performing other activities.  Bending her thumb causes a popping in her hand.  TTD 4 weeks.

Age/Occupation:  49 / Credit analyst

Panel:  Sherman, Rink; Dissent: ; Ulrich


0801

Hand – contusion, apparently carpel tunnel syndrome; Thumb – instability; Arm – median forearm nerve damage

50% L. Hand

15% L. Arm

Mathis

Multiple surgeries consisted of removal of adhesions from left index finger, carpal tunnel release of the left median nerve, stabilization procedure on carpometa-carpal joint and decompression of the median nerve.  The employee was released without restrictions. 

TTD n/a   Age/Occupation:  36 / Correctional officer

Panel:  Dauphin, Sherman, Ulrich

0917

Hands – bilateral carpal tunnel syndrome; Left Elbow – ulnar nerve entrapment; Right Thumb – trigger thumb

20% R. Hand

20% L. Hand

25% R. Thumb

20% L. Arm

Nalefski

Surgeries consisted of a left carpal tunnel release and left elbow ulnar nerve decompression followed by a right carpal tunnel release and right trigger thumb release.  The employee returned to her regular duties.  She has occasional locking of her right thumb.  TTD 11 weeks.  Age/Occupation:  57 / Chronograph Operator.  Panel:  Gore, Rink, Basurto

0963

Ulnar neuropathy

20% Arm

Erbacci

Surgery consisted of a decompression and transposition of the left ulnar nerve.  The employee was released to full duty work.  He now experiences discomfort in his left arm, occasional “stiffness” and “pulling” in the back of his arm.  TTD 15 5/7 weeks.

Age/Occupation:  ___ / Truck driver

Panel:  DeMunno, Pigott, Lindsay

1081

Cubital tunnel syndrome

15% Arm

(no accident)

White

Surgery consisted of a cubital tunnel release surgery.  Following  treatment the employee was released to return to work.  TTD

Age/Occupation:  28 / Molding operator

Panel:  Rink, Sherman; Dissent; Ulrich

1139

Hands – bilateral carpal tunnel syndrome; Right Elbow – cubital tunnel syndrome

20% L. Hand

20% R. Hand

20% R. Arm

Nalefski

Surgery consisted of a right carpal tunnel release and right cubital tunnel release followed by a left carpal tunnel release.  The employee has soreness and pain in her hands, burning and tingling in her wrists and elbow.  She has decreased wrist strength.  She returned to work performing regular duties with difficulty.  TTD 7 1/7 weeks.

Age/Occupation:  48 / Registered nurse

Panel:  Pigott, DeMunno, Lindsey

0978

Hands – bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

20% L. Hand

20% R. Hand

20% R.  Arm

20% L. Arm

Tobin

Surgery consisted of a right carpal tunnel release and a right cubital tunnel release.  Six weeks later a left carpal tunnel release and left cubital tunnel release was performed followed by physical therapy.  The employee now experiences aching pain and tenderness in both of his hands and elbows.  He has difficulty holding items.  He has impaired grip strength and other stated residual problems.  TTD pd.

Age/Occupation:  41 / Tire builder

Panel:  Pigott, DeMunno; Dissent; Lindsay

2005 Guide

ARM - CUBITAL TUNNEL SYNDROME W/SURGERY AND/OR ULNAR NERVE DAMAGE

(The Arbitrator’s Decision is in parenthesis if modified on review)

          

 

 

2005 Decisions

 

Case #

05-IIC-00

Injury

Award %

of Arm

Arbitrator

Medical Treatment and Disability

0036

Right arm cubital tunnel syndrome

15% Arm

Neal

Surgery – consisted of a cubital tunnel surgery.  The employee still has numbness, pain and weakness in his right arm.  He favors his right arm.  TTD 19 weeks.  Age/Occupation:  34 / Millwright

Panel:  DeMunno, Akemann, Pigott

0150

Arms – bilateral cubital tunnel syndrome

25% R. Arm

(5% credit)

20% R. Arm

25% L. Arm

Mathis

Surgery consisted of left and right arm ulnar transpositions.  The employee testified to loss of strength, some numbness and scarring.  The employee was not working at time of arbitration. 

TTD 20 weeks.  Age/Occupation: 38 / Factory worker

Panel:  Sherman, Rink, Basurto

0227

Hands and elbows – bilateral; carpal tunnel syndrome, bilateral cubital tunnel syndrome

17.5% R. Arm

15% L. Arm

15% R. Hand

15% L. Hand

Dibble

Hand surgeries – consisted of left and right carpal tunnel releases.  Elbow surgeries consisted of left and right cubital tunnel releases with anterior submuscular transpositions.  The employee returned to work after treatment without restrictions.  TTD ---

Age/Occupation:  ___ / Foundry worker

Panel:  DeMunno, Basurto

0317

Hands and arms bilateral carpal tunnel syndrome; bilateral radial tunnel syndrome

17.5% L. Hand; 17.5% R. Hand

17.5% L. Arm, 17.5% R. Arm

Mathis

Surgery – consisted of a left and right endoscopic carpal tunnel release and a left and right radial tunnel release.  The employee testified that she has almost complete resolution of her upper extremity symptoms.  TTD 8 1/7 weeks.

Age/Occupation:  39 / Data entry

Panel:  Basurto, DeMunno, Pigott

0365

Hands and elbows – bilateral carpal tunnel syndrome and bilateral ulnar nerve damage.  Right hand dominant

15% L. Hand

17.5% R. Hand

15% L. Arm; 17.5% R. Arm

Dibble

Surgery – consisted of a right carpal tunnel release and ulnar nerve release followed by a left carpal tunnel release and ulnar release.  The employee testified to weakness and pain in both hands and arms with significant improvement since surgery.  TTD –

Age/Occupation:  50 / Mechanic

Panel:  Ulrich, Sherman, Rink

0506

Hands-bilateral carpal tunnel syndrome; Elbows – bilateral cubital tunnel syndrome

15% R. Hand

15% L. Hand

17.5% L. Arm; 17.5% R. Arm

White

Surgery – consisted of left cubital and left carpal tunnel surgery followed by right cubital tunnel and right carpal tunnel surgery.  The employee testified that he has decreased grip strength and his elbows are tender.  His left fingers sometimes goes numb.  TTD 7 weeks.  Age/Occupation:  42 / Engineer

Panel:  DeMunno, Pigott, Basurto

0721

Hands-bilateral carpal tunnel syndrome; Elbow - bilateral cubital tunnel syndrome, bilateral epicondylitis

7.5% R. Arm

(-17.5% credit)

0% R. Arm

17.5% L Arm

(-6% credit)

11.5% L Arm

15% L. Hand

(15% L. Hand, 17.5% L. Arm

5% R. hand

7.5% R. Arm)

Mathis

Left hand surgery – consisted of a left carpal tunnel release.  Left elbow surgery consisted of a left anterior submuscular transposition of the ulnar nerve.  Both elbows were injected to treat bilateral epicondylitis.  TTD 3 5/7 weeks

Age/Occupation:  42 / Factory employee

Panel:  Sherman, Rink, Ulrich

0772

Left arm – tardy ulnar nerve palsy; Neck – C5-6 foraminol defect

15% L. Arm

20% MAW

Giordano

Left arm surgery – consisted of an ulnar nerve subcutaneous transposition at the elbow.  Neck surgery consisted of a posterior cervical laminectomy and foraminotomy at C5-6 on the left.  The employee testified to constant neck pain and left arm pain. 

TTD 35 4/7 weeks    Age/Occupation: 

45 / Drill press operator and assembler

Panel:  Pigott, DeMunno, Basurto

0811

Hands-bilateral carpal tunnel syndrome; Arms – bilateral ulnar neuropathy.  Right hand dominant

20% R. Hand

20% R. Arm

20% L. Arm

5% L. Hand (new money)

Teague

Surgeries – consisted of a left carpal tunnel release and right elbow ulnar release followed by a left carpal tunnel release and left ulnar release followed by physical therapy.  The employee testified to pain in the palms of both hands, mild tingling in his hands, loss of strength, difficulty with fine manipulation using his hands.  He has decreased elbow strength, elbow tenderness.  TTD N/A

Age/Occupation:  36 / Tire builder

Panel:  Pigott, DeMunno, Basurto

0895

Elbows and hands – bilateral carpal tunnel syndrome and bilateral cubital tunnel syndrome

20% L. Arm

20% R. Arm

20% L. Hand

20% R.  Hand

Tobin

Surgeries – consisted of an open release of the left carpal tunnel and release of the ulnar compressive neuropathy of the left elbow.  The employee then underwent a median nerve decompression of the right carpal tunnel and ulnar nerve decompression of the right elbow.  The employee testified to diminished grip strength and tenderness at the incision site.  He has weakness in both arms.  He cites other residual complaints.  TTD 22 weeks.

Age/Occupation:  40 / Spray booth operator

Panel:  Sherman, Rink. Ulrich