Case Study: Right Hand Crush Injury with Surgical Repair
- LCPMD
- Mar 27
- 2 min read
Updated: Mar 31
Background: James Carter, a 42-year-old auto mechanic and right-hand dominant individual, suffered a severe right-hand crush injury when his hand was caught in defective machinery at work. He underwent multiple surgical procedures, including tendon and nerve repair. Despite surgical intervention and extensive rehabilitation, James continued to experience chronic pain, stiffness, reduced grip strength, and limited dexterity. These ongoing impairments significantly impacted his ability to perform his job and daily activities.
Challenges: The defense attempted to argue that James had regained sufficient function to return to work in some capacity, minimizing his long-term limitations. They also downplayed the need for additional treatment and assistive devices.
1. Life Care Plan
A life care planner developed a detailed assessment of James’s ongoing medical needs, including physical therapy, pain management, occupational therapy, assistive devices, and future surgical interventions. This plan illustrated the long-term impact of his injury on his quality of life and financial well-being.
2. Present Value Assessment of Life Care Plan
An economist calculated the present value of James’s anticipated medical expenses, ensuring that future treatment costs, including therapy and assistive devices, were fully accounted for in his compensation.
3. Vocational Loss of Earnings
A vocational expert assessed James’s ability to return to work. Given his reliance on fine motor skills and grip strength, the expert determined that he could not resume his role as a mechanic and had limited alternative job opportunities due to his dominant hand’s impairment. This supported a claim for significant loss of earning capacity.
4. Present Value Assessment of Loss of Earnings
An economist provided a detailed present value analysis of James’s lost wages and future earning potential, factoring in his career trajectory and the impact of his disability on future employment opportunities.
5. Medical Bill Reasonableness of Charges Analysis
A certified life care planner reviewed James’s past medical expenses, ensuring that the charges for surgery, rehabilitation, and ongoing treatment were reasonable and customary. This analysis prevented the defense from disputing the legitimacy of his medical costs.
Outcome: By leveraging damages valuation expert reports and testimony, James’s legal team established his medical expenses, lost earnings, pain and suffering, and future care costs. This ensured he had the resources necessary for ongoing medical care and career adjustments due to his dominant hand impairment.
Conclusion: For injury attorneys handling dominant-hand crush injury cases, comprehensive life care planning, economic assessments, and vocational evaluations are essential. By presenting expert-backed evidence, attorneys can effectively counter defense strategies and achieve a just outcome for their clients.