[2025] VCC 780
General information, not legal advice.
County Court of Victoria
2025-06-25
Mr P
Original judgment source is linked above.
(i) that the injury is a "serious injury" by reference to the pain and suffering consequences of any impairment or loss of body function,[3] and
(ii) that the pain and suffering consequences, when judged by comparison with other cases in the range of possible impairments or losses of body function, may be fairly described as being "more than significant or marked" and as "being at least very considerable".[4]
(a) must not take into account psychological or psychiatric consequences of the "injury" for the purposes of sub-paragraph (a) of the definition of "serious injury". These can only be taken into account for the purposes of sub-paragraph (c) of the definition of "serious injury";[5]
(b) must make the assessment of "serious injury" at the time the application is heard;[6]
(c) bring a value judgment to the assessment of whether "an injury" satisfies the narrative test.[7]
"[Mr Amato] has clinically significant postero-superior traumatic rotator cuff tear, at least involving supraspinatus and infraspinatus with pseudo- paralysis. In a young manual worker, this is a significant injury, and I have recommended surgical repair with arthroscopic rotator cuff repair, contracture release, bursectomy and biceps tenodesis. ... ."[13]
Dr John Abraham, general practitioner at Doreen Total Health Care Clinic
(a) unable to perform overhead activities;
(b) unable to push/pull above shoulder level;
(c) can do prolonged sitting, standing or walking;
(d) cannot lift or carry above shoulder level;
(e) is able to drive and perform any other physical functions and motions;
(f) permanently restricted to light duties and right arm movements below shoulder only (incapacitated to perform other forms of heavy, physical or manual labour employment);
(g) incapacitated for unrestricted pre-injury duties as a plumber, which is likely to continue indefinitely.[17]
"The supraspinatus strength in relation to Mr Amato (sic) right shoulder was assessed using the Jobe's Test (also known as the Empty Can Test). The right arm was elevated to 90 degrees in the scapular plane, with the elbow extended and the shoulder in full internal rotation. With a downwardly directed force to the arm, Mr Amato experienced pain. There was weakness with resistance. This is consistent with right-sided supraspinatus dysfunction.
There was also a positive external rotation lag sign on the right which is consistent with a massive, irreparable infraspinatus rotator cuff tendon tear. The belly press test was also weak, consistent with an upper subscapularis rotator cuff tear."[21]
(a) upon review of the x-rays taken on 8 April 2019 and the ultrasound taken on 29 April 2019, there was a full-thickness full-width tear of the supraspinatus with a large amount of fluid, which may represent a relatively acute injury;[24]
(b) the worksheet and available ultrasound images showed new significant findings not present in the initial ultrasound scan undertaken on 29 April 2019, nor noted in the radiologist's report of 28 June 2019. These included fluid around the long head of the biceps ("LHB") and possible subluxation of the LHB within the bicipital groove. From an orthopaedic surgeon's perspective, these findings indicated both injury and instability of the tendon, which typically caused shoulder pain and could significantly impact shoulder function. The LHB plays an important role in shoulder stability and biomechanics, and when unstable can create mechanical symptoms and lead to progressive tendon damage if left untreated. These findings were confirmed by the treating surgeon who documented the injury to the LHB, which he described as "biceps fraying", said to be corroborated by subsequent imaging taken in August 2019;[25]
(c) the post-June 2019 imaging revealed new objective findings, including glenohumeral joint effusion, medial subluxation of long head biceps, and subscapularis involvement. These changes represented acute traumatic pathology and new involvement of previously intact tendons;[26]
(d) the current condition of the right shoulder is causally connected in a material way to the injury sustained on 24 June 2019. From an anatomical perspective, that injury introduced new pathology affecting the subscapularis tendon. The LHP instability contributed to significant disruption to shoulder biomechanics, leading to persistent pain, restricted movement and loss of function.[27]
Associate Professor Evange Romas, consultant rheumatologist
"... musculoskeletal ultrasound examination is a dynamic imaging technique that warrants real-time assessment at the time of examination. Retrospective review of static representative images taken by the operator as required for this report may be biased by the images chosen by the ultrasound probe operator and may not truly or fully represent findings present at the time of the examination. ... It is also not possible to retrospectively evaluate the presence of symptoms at the time of ultrasound transducer probe interrogation."[34]
(a) he was employed as a full-time plumber by Revive a Drain between December 2018 and Easter 2019;[38]
(b) the incident in April 2019 caused some occasional shoulder pain, but did not stop him from working in his full capacity. He had a few days off work and returned to normal hours and duties;[39]
(c) on 30 April 2019, he commenced employment at Mr Pipes as a plumber. Following the incident in June 2019, he has been working in light duties, initially for the same employer, and from June 2020 onwards, for a different employer;[40]
(d) following the surgery in August 2019, he had treatment from his GP, took Nurofen tablets and performed daily exercises at home;[41]
(e) he had shoulder pain most of the time, and used his left hand for most things. He had numbness and tingling in the fingers on his right hand;[42]
(f) the pain restricted his ability dress himself, put things up on high shelves, pick up his children and grandchildren, ride his bike and go jet-skiing;[43]
(g) he was unable to do plumbing work and was restricted to light work and office duties, supervising at a plumbing company, rarely using tools;[44]
(h) he had other health issues, including kidney stones, a heart attack in March 2023 and investigations for neck pain, and lifestyle issues, for which he was having counselling;[45]
(i) he lost grip strength in his right arm and does very little around the house;[46]
(j) he did not want to see the surgeon again as he believed he had a bad result from surgery;[47]
(k) in January 2025, his employment was terminated and he feared for his future, as he could not return to plumbing work. In April 2025, he found employment as a supervisor and was not required to work on the tools.[48]
(a) Mr Amato worked in the plumbing industry for as long as she has known him;[49]
(b) before the injury, he was very active at home. After the injury, he had to make many changes about the way he used his arm and was cautious about overhead activities. He could no longer lift things as he did before. He could no longer gather rubbish and dispose of it at the tip;[50]
(c) when he slept on his right side, he became stuck and could not push off with his arm to roll over; he needed to lift himself into a sitting position first.[51]
(a) he still rode his Harley-Davidson motorbike "for short bursts" and met up with his friends from a motorcycle club;[55]
(b) he could drive a car, go shopping and carry bags, but could not lift his right arm above shoulder level. He had no shoulder pain at rest, but at night in bed he might feel pain if he turned over onto the shoulder;[56]
(c) he was working in a supervisory role earning more money than he did as a plumber;[57]
(d) he could wash and dress independently;[58]
(e) he was not taking any painkillers when he attended the Medical Panel.[59]
(a) he could now only ride his motorbike for about two hours, whereas before he was injured he could ride without a time limitation;[60]
(b) he did not ride a pushbike anymore because of pain in the shoulder;[61]
(c) he demonstrated to the Court his restriction of movement in the arm - he was able to reach the top of his head with the right hand, but made a jerky motion with his arm as he did so. He said he could comfortably reach his arm to just below shoulder height;[62]
(d) he was limited in his ability to shave his head, he used to use both hands before the injury. He has to do that every four weeks.[63]
(a) on 30 August 2022, 19 June 2024 and 18 December 2024, Mr Amato deposed that he continues to attend his GP.[66] In cross-examination, however, the GP records and reports were put to Mr Amato and he accepted the progress notes do not contain references to any attendance for treatment for the shoulder in that period. He did not accept that the affidavits were drafted in order to create a false impression;[67]
(b) on 19 June 2024, Mr Amato deposed he takes Panadeine Forte two to three times a week.[68] On 18 December 2024, Mr Amato deposed he continues to rely on Panadeine Forte for pain relief. On 3 April 2025, Mr Amato again deposed to taking Panadeine Forte tablets occasionally;[69]
(c) in cross-examination, he confirmed, he was taking approximately 100 to 150 tablets of Panadeine Forte a year.[70] The progress notes of his GP were put to Mr Amato and he accepted there was only one prescription for Panadeine Forte written, on 26 September 2023, for twenty tablets. Despite inconsistent evidence on this point, he ultimately agreed he did not have another source for Panadeine Forte.[71] He did not accept he had overstated his use of Panadeine Forte in order to make his injury look more serious than it was;[72]
(d) when asked about the April 2019 injury, Mr Amato initially said he had been referred for physiotherapy, but had not attended, "[n]o, I went to work instead";[73]
(e) in his affidavit, Mr Amato deposed that, following surgery for the June 2019 injury, he attended physiotherapy for three months.[74] When asked about this, he told the Court he had not attended physiotherapy at all after the surgery, "I didn't have any physiotherapy ... I done my own physiotherapy";[75]
(f) when asked to clarify the position about physiotherapy, he told the Court he attended physiotherapy "between the first and second injury".[76] When it was pointed out to him he had earlier told the Court he had not done any physiotherapy after the first injury, he told the Court, "I never said that".[77]
(a) he had been prescribed Panadeine Forte for other conditions (kidney and toothache) but it was conceded that, even so, the number of tablets did not equate with Mr Amato's evidence that he was taking 100 to 150 tablets a year;[81]
(b) counsel referred to the need to focus on objective evidence where a plaintiff had told "untruths". While the Court may reject Mr Amato's evidence on medication or attendances, that should not lead to all of his evidence being rejected. The false impression created by his affidavits does not necessarily infect all matters;[82]
(c) objectively, there was a significant orthopaedic injury. The intraoperative findings confirmed the extent of the injury. Dr Awad noticed atrophy of the deltoids and shoulder muscles and the noticeable Popeye deformity, Mr Pak found bunching of the muscle belly and the Medical Panel found disuse atrophy of both the infraspinatus and supraspinatus. There was consistency among the objective findings;[83]
(d) Mr Amato is relatively-young at fifty-four and was now restricted in his work options. After the April 2019 injury, he could work as a plumber, however can now no longer do so on account of the June 2019 injury;[84]
(e) The defendant has not discharged its evidentiary burden of establishing that Mr Amato would have come to surgery regardless of the June 2019 injury. Mr Pak's opinion is inadequate for that purpose.
(a) Mr Amato lacked credibility with respect to the extent of the impairment caused by his shoulder and the need for treatment and medication;[85]
(b) the "aggravation" injury is not serious, as Associate Professor Romas only apportioned 4 per cent impairment for the June 2019 injury and 6 per cent impairment for the April 2019 injury. That is supported by the lack of medical treatment;[86]
(c) any impairment assessment must start from the position that Mr Amato is left-hand dominant. He has retained the ability to perform many activities, including motorbike riding. He did not depose to having had a particular love of plumbing, so the fact that he now cannot return to that trade is not a serious consequence.[87]
[7] Kelso v Tatiara Meat Co Pty Ltd [2007] VSCA 267; (2007) 17 VR 592; Sabo v George Weston Foods [2009] VSCA 242 at paragraph [67]
[8] Petkovski v Galletti [1994] VicRp 32; [1994] 1 VR 436 ("Petkovski") at 444 and AG Staff Pty Ltd v Filipowicz; Arnold Ribbon Co Pty Ltd v Filipowicz (2012) 34 VR 30 at 314 ("AG Staff"), paragraph [26]
[9] Petkovski at 439 and AG Staff at 314, paragraph [26]
[10] Petkovski at 444, AG Staff at 314, paragraph [26]
[11] Plaintiff's Amended Court Book ("PCB") 42 and 47
[20] X-ray of the right shoulder dated 8 April 2019, ultrasound of the right shoulder dated 29 April 2019, ultrasound of the right shoulder dated 28 June 2019, MRI scan of the right shoulder dated 21 July 2019 and ultrasound of the right shoulder and upper arm dated 2 August 2019 at PCB 104.
[37] 30 August 2022, 19 June 2024, 18 December 2024, 3 April 2025, 13 May 2025, 15 May 2025
[40] PCB 15 at paragraphs [13]-[14]
[41] PCB 16 at paragraphs [19]-[21]
[42] PCB 16 at paragraphs [22]-[23] and PCB 24 at paragraph [7]
[43] PCB 17-18 at paragraphs [26], [28], [31] and [34]
[44] PCB 18 at paragraph [35] and PCB 21 at paragraph [12]
[45] PCB 19-20 at paragraphs [3]-[4], [6]-[8] and PCB 23-24 at paragraph [2]
[48] PCB 27 at paragraph [7] and PCB 21 at paragraph [12]
[50] PCB 34-35 at paragraph [5], PCB 356 at paragraphs [17], [19] and [21]
[64] Palmer Tube Mills (Aust) Pty Ltd and Anor v Semi [1998] 4 VR 439 at 448 (per Brooking JA); and Johns v Oaktech Pty Ltd [2020] VSCA 10 at paragraph [76]
[65] Yilmax v Speciality Fashion Group Ltd [2019] VSCA 100, cited with approval in Samaras v Transport Accident Commission [2019] VSCA 255.
[66] PCB 16, PCB 21 and PCB 24
[69] PCB 21 at paragraph [9], PCB 24 at paragraph [5] and PCB 27 at paragraph [6]
Amato
Victorian WorkCover Authority [2025] VCC 780
(2007) 17 VR 592
(2012) 34 VR 309
(2012) 34 VR 30