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Interesting discussion as to causation
5102(d) issues

Interesting discussion as to causation

By Jason Tenenbaum 8 min read

Key Takeaway

New York court dismisses injury case where plaintiff failed to prove accident caused knee surgery, highlighting importance of objective medical evidence in causation claims.

Personal injury cases in New York often hinge on establishing a clear causal connection between an accident and claimed injuries. This becomes particularly challenging when plaintiffs have pre-existing medical conditions that complicate the analysis. The recent decision in Campbell v Fischetti demonstrates how courts scrutinize medical evidence when determining whether an accident truly caused subsequent medical treatment, especially when objective signs of continuing disability are absent.

The case illustrates a common scenario where immediate post-accident medical records may actually work against a plaintiff’s claim. When initial medical examinations reveal only minor injuries while later surgical interventions are attributed to pre-existing conditions, establishing the necessary causal link becomes nearly impossible without compelling objective evidence.

Jason Tenenbaum’s Analysis:

Campbell v Fischetti, 2015 NY Slip Op 01898 (1st Dept. 2015)

Furthermore, an X ray taken on the accident date revealed that plaintiff had sustained only a contusion, and had chronic degenerative changes with severe medial joint space narrowing.

In opposition, plaintiff failed to raise a triable issue of fact. Her orthopedic surgeon diagnosed her with left knee osteoarthritis before and after surgery, and provided “no objective basis or reason, other than the history provided by plaintiff,” in support of his opinion that the accident was causally related to the knee surgery nine months later (_see Farmer_at 562 ). Moreover, plaintiff failed to provide evidence of any injuries that were different from her preexisting arthritic condition (see Kamara v Ajlan, 107 AD3d 575, 576 ).”

Key Takeaway

This decision emphasizes that medical opinions based solely on a plaintiff’s subjective history are insufficient to establish causation in personal injury cases. Courts require objective medical evidence showing how an accident meaningfully altered or exacerbated pre-existing conditions. Without such evidence, cases often fail at the summary judgment stage, as plaintiff’s own hospital records can undermine their claims.

Filed under: 5102(d) issues
Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

About the Author

Jason Tenenbaum

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
Experience
24+ Years
Articles
2,353+ Published
Licensed In
7 States + Federal

Discussion

Comments (1)

Archived from the original blog discussion.

JT
Jason Tenenbaum Author
Of course in no-fault, the burden of proof is completely different.

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