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Left Knee Case Study

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Group I, Category 53 Insufficient Vocational Documentation to Determine Work History
ISSUE
The DDS proposes a fully favorable allowance for this claimant with an EOD of 07/01/2013. The evidence in file supports a later onset date.
CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES)
This 53 year old claimant is filing a concurrent claim alleging disability due to tear or lateral cartilage or meniscus, chondromalacia of the patella, synovitis and tenosynovitis a of 07/01/2013. The medical evidence shows the claimant had twisting injury to left knee with lateral meniscus tear on 7/1/13. He was also noted to have preexisting osteoarthritis of the left knee. The claimant underwent arthrosopic partial meniscectomy on the left knee on 2/27/14 with some symptomatic relief. An orthopedic report on 1/13/14 noted ongoing left knee pain. The physical exam showed tenderness; pain with flexion and extension; positive McMuray's test and negative Drawer's test. X-rays of left knee on 1/13/15 showed mild left knee osteoarthritis.
The DDS assessed a RFC for 50/25/4/6. The evidence in file indicates the claimant is capable of 20/10/6/6. The DDS proposed a …show more content…

The Misc Non Disability Development worksheet in file indicates the claimant was unable to recall the exact dates he worked but he failed to return the 821. A POD of 7/1/15 was recommended. At an office visit on 1/13/14, the claimant indicated he was still working 34-48 hours a week but was performing modified duties and missed work often due to his condition. At an orthopedic evaluation on 3/26/15, the claimant stated he has been off work on temporary disability 2/2014 to the present. These statements conflict and should be resolved before to a finding a disabled can be

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