Specialty Networks

Case study: Orthopedic and Spine Network

Case history

The worker presented with an inability to bend his left leg after feeling a pop in his knee while working. He was diagnosed with a torn meniscus.

Paradigm’s plan

We got the referral just five days after the date of injury. We identified a qualified orthopedic surgeon and coordinated the care locally in an area with limited access to knee specialists. The injury was deemed to be the worsening of a pre-existing meniscal tear, as seen on his MRI. Initial treatment included a steroid injection, physical therapy, and a knee brace. After no improvement, the surgeon then recommended a full knee replacement, which was deemed to be a medical issue, not a work-related issue because of the pre-existing meniscal tear. The physician opined permanency for the work injury at a 2% loss for whole body impairment. The case was referred to his primary health insurance for coverage of future treatment, effectively mitigating the claim exposure.

A positive outcome

The worker returned to his job just over a month after Paradigm’s intervention. The savings for avoidance of wage replacement costs was $7,200; avoidance of knee replacement and associated medical costs and future care was estimated at $35,000.