Supreme Judicial Court of Maine.
April 5, 1977.
Appeal from the Superior Court, Cumberland County.
Ranger, McTeague Higbee by Patrick N. McTeague, Brunswick, for plaintiff.
Robert F. Hanson, Portland, for defendant.
Before DUFRESNE, C.J., and WEATHERBEE,[*] POMEROY, WERNICK, ARCHIBALD and DELAHANTY, JJ.
DUFRESNE, Chief Justice.
This appeal by the petitioner, Ralph G. Barrett, is taken from a pro forma decree of the Superior Court (Cumberland County) affirming the decision of the Industrial Accident Commission denying compensation benefits for a personal injury sustained on August 29, 1973. We deny the appeal.
The Commission’s decision concluded as follows:
“In a Petition for Award of Compensation a claimant has the burden of establishing personal injury by accident arising out of and in the course of employment. The relationship between employment and accidental injury must be established. In other words, the accidental injury must result from a risk to which the employee is exposed by reason of his employment. Here the claimant with a long history of chronic back sprain developed symptoms while merely walking. Not only are we unable to find accidental injury but relationship to employment is also missing within the meaning of our Workmen’s Compensation Law.
“Accordingly the pending Petition for Award of Compensation is hereby dismissed.
At the time of the petitioner’s injury on August 29, 1973, our Workmen’s Compensation Act provided that
“[i]f an employee who has not given notice of his claim of common law or statutory rights of action, or who has given such notice and has waived the same, as provided in section 28 receives a personal injury by accident arising out of and in the course of his employment, he shall be paid compensation and furnished medical and other services by the employer who shall have assented to become subject to this Act.” (Emphasis supplied)
Barrett’s description of the relevant occurrence was to the effect that, at mid-morning on August 30, 1973, while he, Barrett, in the course of his employment by Herbert Engineering, Inc., was walking along to fetch some tools, one of his fellow workers yelled at him. Turning around to see what this fellow wanted, Barrett was asked to pick up some particular tool for him at the same time. Resuming the direction in which he was walking prior to the reference interruption, the petitioner testified that he quickened his pace and while walking along at his normal gait he felt a sharp pain in the lower lumbar sacral region of his back. On examination by Dr. Richard Giustra, an orthopedic surgeon, Barrett gave a similar history of the event, adding that the snap in his back caused him to drop to his knees. The doctor was also made aware of a long intermittent history
of low back discomfort experienced in the past by the petitioner.
The parties agreed that Mr. Barrett was disabled from work for the period of August 30, 1973 to November 11, 1973. Although Dr. Giustra testified that he felt there was a positive relationship between walking and the exacerbation of Barrett’s chronic low back condition, the single Commissioner of the Industrial Accident Commission denied compensation for the stated reasons quoted previously.
In Canning v. State Department of Transportation, 1975, Me., 347 A.2d 605, at page 609, we said:
“An employee is, of course, entitled to compensation for a disability proximately caused by his employment regardless of whether his condition at the time of injury was average or subnormal. Thus, a work injury that aggravates a pre-existing condition is compensable even though a physically normal employee would have been unaffected, provided the injury occurs under conditions that would otherwise entitle the employee to compensation.” (Emphasis added)
It is true that the employer takes the employee as he finds him, but, even so, where the employee already suffers from a preexisting infirmity in dormant stage, its activation or exacerbation from an asymptomatic condition to a symptomatic one during the course of the employment is not compensable under our Workmen’s Compensation Act unless the flare up arises out of the employment, meaning that it must be traced to the employment as a contributing proximate cause, and not be solely due to a hazard to which the workman would have been equally exposed apart from the employment.
The statutory words “arising out of” mean that there must be some causal connection between the conditions under which the employee worked and the injury which arose, or that the injury, in some proximate way, had its origin, its source, its cause in the employment. Westman’s Case, 118 Me. 133, 143, 106 A. 536.
The injury must be in a just sense related to the employment or have association with the work thereunder.
The rational mind must be able to trace the resultant injury to a proximate cause set in motion by the employment, and not by some other agency, or there can be no recovery of compensation Hawkins v. Portland Gas Light Co., 1945, 141 Me. 288, 292, 43 A.2d 718.
We have in mind that a sudden, unusual and unexpected internal injury caused as a result of the victim’s ordinary work is compensable, even when not predicated upon an occurrence external to the body. Moores v. Structural Concrete Corp. of Maine, 1969, Me., 255 A.2d 892; and this is so, even if the internal injury did not demonstrate itself by a sudden and dramatic effect upon the employee. Matthews v. R.T. Allen Sons, Inc., 1970, Me., 266 A.2d 240. See also Brown’s Case, 1924, 123 Me. 424, 123 A. 421, 60 A.L.R. 1293.
In the instant case, the petitioner’s lumbo-sacral strain did not spring into activity by reason of any work that he was doing, but occurred while he was walking at his normal gait to fetch some tools. The Commissioner found that the ensuing disabling condition was not legally causally related to the employment. This ultimate conclusion is a finding of fact supported by competent evidence and, therefore, final under 39 M.R.S.A. § 99.
Causal relationship between the injury and the work the employee was doing, i.e. the nexus between the injury and the employment, is a question of fact reserved under the statute to the Commission and its determination, if supported by competent evidence, is final and this Court is not authorized to intervene. See Guerrette v. Fraser Paper, Limited, 1975, Me., 348 A.2d 260 Patrick v. J.B. Ham Co., 1921, 119 Me. 510, 111 A. 912, 13 A.L.R. 427. See also Continental Casualty Company v. Weise, 1975, 136 Ga. App. 353, 221 S.E.2d 461.
The entry will be
It is hereby ordered that the appellees pay to the appellant an allowance of $550.00 for his counsel fees, plus the actual reasonable out-of-pocket expenses for this appeal.
All Justices concur.
WEATHERBEE, J., sat at oral argument and participated in conference, but died before this opinion was adopted.