Worker's Compensation for Musicians

2013 ◽  
Vol 28 (3) ◽  
pp. 174-175
Author(s):  
Alex Lubet ◽  
Ruth L Chimenti

Kudos to Ruth L. Chimenti et al. and MPPA editor Ralph Manchester for their excellent and complementary contributions to the literature regarding performing arts and worker’s compensation (WC). … Chimenti et al. addressed the issue of why WC is underutilized by professional orchestral musicians. They conducted a survey whose n = 261, with 243 musicians reporting injuries. The survey (included in the online, but not print version of the article) posits 7 possible reasons for not filing WC claims, plus the option of providing an “other” response. The authors did a good job choosing possible reasons, since all 7 received significant responses. … I would offer one “other” reason WC claims are not filed. Such claims are often denied and often taken to court.

2013 ◽  
Vol 28 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Ruth L Chimenti ◽  
Linda R Van Dillen ◽  
Heidi Prather ◽  
Devyani Hunt ◽  
Peter C Chimenti ◽  
...  

Orchestral musicians commonly have playing-related symptoms (PRS) but few use worker’s compensation (WC) insurance for assessment and treatment. The purpose of this study was to examine the frequency of, and factors related to, filing a WC claim among musicians. METHODS: An online questionnaire was completed by 261 members of the International Conference of Symphony and Opera Musicians (ICSOM). The responses were analyzed to describe the frequency and type of injuries, perceived cause of PRS, and severity of injury in musicians who did and did not file a WC claim. RESULTS: Of the musicians, 93% reported PRS in the 12 months prior to the study. Only 9 musicians filed WC claims during their careers, and all claims were for upper extremity injuries. The most frequent reason for not filing a WC claim was insufficient severity. Yet among musicians describing their PRS as not severe enough for a WC claim, 47% had symptoms for >15 minutes after playing and 16% had symptoms that interfered with daily activities. CONCLUSION: These data suggest there is frequent under-reporting of injuries to WC among professional orchestral musicians. Although most musicians reported PRS that persisted after playing, the most common reason for not filing a WC claim was insufficient severity of symptoms perceived by the musicians. Future research should focus on clearly defining severity for PRS-related injuries and determining when treatment for overuse syndromes should be paid for through the WC system.


2013 ◽  
Vol 28 (1) ◽  
pp. 1-2
Author(s):  
Ralph A Manchester

Performing arts medicine has made significant progress over the last three decades, and not infrequently we have looked to the field of sports medicine for inspiration and strategies. It seems that we have looked to occupational medicine less often as a model to emulate, but that may be worth reconsidering. The article by Chimenti et al. in this issue of MPPA found that only a small percentage of injured musicians filed a claim for worker’s compensation, even though most of them had sought medical care.


Author(s):  
Won-Cheol Lee ◽  
Dong-Il Kim ◽  
Young-Jun Kwon ◽  
Hyoung-Ryoul Kim ◽  
In-Ah Kim ◽  
...  

2021 ◽  
Author(s):  
Carrie Roth Bettlach ◽  
Ella Gibson ◽  
John M Daines ◽  
Emma R payne ◽  
Linh N Vuong ◽  
...  

Abstract Purpose: We aimed to quantify the stigma associated with digital amputation using the Neuro-QOL Stigma patient-reported outcomes instrument and examine the patient and injury factors associated with a more severe amputation stigma experience. Methods: This descriptive retrospective cohort study analyzed 164 patients who underwent digital amputation. Records were reviewed for age at amputation, sex, indication, laterality, level, number of amputated digits, and a diagnosis of depression that preceded amputation. Enrolled patients remotely completed the Neuro-QOL stigma computer adaptive test, a battery of PROMIS instruments, and a questionnaire clarifying personal/injury details. Multivariable analysis was used to identity factors associated with a more severe stigma experience.Results: Among 164 digital amputees enrolled, the observed mean Neuro-QOL Stigma score of 47.2 +/- 8 is slightly below the population mean of 50. Younger age, a worker’s compensation claim, and a diagnosis of depression at the time of amputation are each independently associated with a more severe stigma experience after digital amputation. Neither socioeconomic variables, anatomic details of the injury, nor mechanism were independently associated with Neuro-QOL Stigma. Conclusions: While we have previously targeted patients with more severe injuries for discussion of coping with physical stigma, our findings suggest that attention should perhaps instead be focused on digital amputees who are young, depressed, and/or involved with worker’s compensation. A surgeon may be of service to the at-risk patient by offering referral to a mental health provider who can offer depression treatment and/or support the patient’s process of coping and adjustment.


2022 ◽  
pp. 107110072110586
Author(s):  
Ainsley K. Bloomer ◽  
R. Randall McKnight ◽  
Nicholas R. Johnson ◽  
David M. Macknet ◽  
Meghan K. Wally ◽  
...  

Background: The management of displaced intraarticular calcaneus fractures (DIACFs) is a difficult problem with disappointing results from open reduction internal fixation (ORIF). Alternatively, ORIF with primary subtalar arthrodesis (PSTA) has gained increasing popularity. The purpose of this study is to review patient-centered and radiographic outcomes of ORIF plus PSTA using only screws through a sinus tarsi approach. Methods: A retrospective study of patients who underwent ORIF+PSTA for DIACFs was conducted. The same surgical technique was used in all cases consisting of only screws; no plates were used. Delayed surgeries past 8 weeks were excluded. Demographic and radiographic data were collected including worker’s compensation claims. Plain radiographs were used to characterize injuries and review outcomes. Results: Seventy-nine DIACFs underwent PSTA with a median follow-up of 200 days (n = 69 patients). Median time to weightbearing was 57.5 days postoperatively. Ten fractures were documented as Sanders II, 36 as Sanders III, and 32 as Sanders IV. Sixty-eight fractures (86.1%) achieved fusion on radiographs at a median of 126.5 (range, 54-518) days. Thirty-nine fractures (57.3%) demonstrated radiographic fusion in all 3 predefined locations. Nine of the 14 worker’s compensation patients returned to work within the period of observation. There were 8 complications: 3 requiring a secondary operation. Eleven of 79 fractures treated did not go on to achieve radiographic union. Conclusion: In this retrospective case series, we found that screws-only primary subtalar arthrodesis for the treatment of DIACFs through a sinus tarsi approach was associated with relatively high rates of return to work and radiographic fusion. Level of Evidence: Level IV, retrospective case series.


Author(s):  
Larry H. Royster ◽  
Julia Doswell Royster

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