Hi new to forum and need help.
I was hurt at work... went to ER diagnosed as a contused left knee. Sent to a OS and within the following 10 months I had physical therapy, a diagnostic arthroscopy, viscosupplementation injections, another round of physical therapy then back to work.
I have constant pain more than normal when I have to climb stairs and a feeling like my knees will give out on me most of the time.
Below are the medical reports from my OS DR. and the insurance IME. I need help understanding whats being said from each DR. and to what extent do they agree on.OS DR.
There is significant soft tissue swelling of knee. The alignment of the lower limb show no obvious varus or valgus deformity. There is no obvious quadriceps atrpphy. The ROM of the knees are extension 0 and flexion is 110 degrees. The joint effusion is + The medial joint line is minimally tender. The McMurray test is negative and Apley is negative as well. There is no evidence of bakers cyst clinically. There is no ligamentous laxity. The anterior drawer and Lachman tests are normal. The pivot shift, reverse pivot shift tests are normal. The patellar compression test is positive.
Considering loss of flexion, partiial lateral menisectomy and generalized chondromalacia I give a 37.5 percent loss of fuction to the left knee.IME Report
She has positive effusion in her left knee. She lacks 10 degrees of full extension and flexes to 110 degrees. She has mild patellofemoral pain. She has excellent stability in the anterior posterior as well as medial and lateral direction. She has a slightly positive McMurray test in the medial compartment. She has excellant varus/valgus stability. She has a negative steinman test.
It is obvious that she has patellofemoral chondromalacia, she has a partial meniscetomy loss of use to the left leg is 15 percent.
Each Dr. performing the impairment ratings need to follow the NY state WCB guidlines for impaiment ratings.http://www.wcb.ny.gov/content/main/hcpp/ImpairmentGuidelines/2012ImpairmentGuide.pdf
How important are ROM tests as it appears the IME Dr. didn't consider them in his rating?
Do these two Dr's agree with each other?
please help me understand whats going on here.