Girl with Fractured Femur from Construction Site Accident Wins New Damages Trial due to Jury's Inconsistent Pain and Suffering Awards ($100,000 for Future, Zero for Past)

On September 1, 2000 Jennifer Arietta was struck by an eight foot piece of plywood accidentally dropped from the third floor window at 513 Beekman Avenue in the Bronx. The plank was being used as a window cover by contractors renovating the building and ten year old Jennifer just happened to be walking on the sidewalk below with her brother.

Plywood windows, like this, are common at construction sites but they are not supposed to fall three stories to the ground:

Rushed to the local hospital, Jennifer was diagnosed with a displaced fracture of her right leg’s distal femur and she was placed in a full leg cast from her upper thigh down to her foot. After three months, the cast was removed and Jennifer underwent five months of physical therapy.

The fracture was classified as Salter II, meaning that it was through the growth plate and epiphysis (the site where most of the longitudinal growth of bones occurs):

In her ensuing lawsuit, Jennifer won full liability against the construction site owner and two contractors and then, on May 18, 2007, a Bronx County jury determined that her pain and suffering damages should be $100,000 (zero for the past – 6 ½ years, $100,000 future – one year).

In their appeal of the verdict, Jennifer's attorneys argued that the damages award was insufficient and inconsistent. The appellate court in Arietta v. Shams Waterproofing, Inc. has issued its decision ordering a new trial on damages because there was “no rational explanation” for the failure to award any damages at all for past pain and suffering.

At the time of trial, six and a half years after the accident, Jennifer stated that she had substantial pain in her right leg in addition to back and hip pain.

The defense doctor testified that Jennifer’s fracture healed well, any pain she was experiencing was from other conditions and she would need no surgery in the future related to this accident.

Jennifer’s doctor, though, testified that the fracture led to a premature closing of the growth plate and that as a result she suffers a four centimeter shortening of her leg and will need extensive surgery to lengthen her leg impairing her ability to walk.

There are multiple methods for leg lengthening surgery but many involve application of an external fixation device, like the one shown here applied to the lower leg:

The appellate court’s reversal was narrowly limited and focused only on the improper failure to award any damages for past pain and suffering. The court did not address the issues of whether there was a basis for the jury’s finding that Jennifer’s future pain and suffering should be limited to only one year and whether $100,000 is an unreasonably low amount for Jenifer’s future pain and suffering.

Inside Information:

  • Jennifer was born with cerebral palsy which required surgery on her left leg before this accident.
  • One year after this accident, Jennifer underwent a right leg derotational osteotomy to correct some long-standing problems related to her spine and abnormal tilting of her pelvis.
  • Jennifer’s 12 year old brother, Oscar, was also injured in the accident sustaining a torn ligament in his elbow requiring a brace for eight months and arthroscopic surgery in the future. Oscar was awarded $13,600 for his pain and suffering (zero for the past; $13,600 future – one year). The appellate court reversed this verdict as well.
     

$3,000,000 Pain and Suffering Verdict Sustained on Appeal for Ten Year Old New York Girl Injured in Horrifying Subway Accident

November 4, 2001 began as a great day for ten year old Leonari Jones. She was an active, playful, happy kid who had a sleepover party and was on the subway returning home to the Bronx with her  friends and babysitter. When the train pulled in to her stop at 174th Street, though, Leonari’s life took a tragic turn.

As she exited the subway car, Leonari placed her left foot on the platform but her right foot became caught between the doors. She tried to dislodge her leg but couldn’t and the train pulled out so she started to hop on her left leg to keep up with the increasing speed of the moving train.

This shows similar city subway doors but Leonari wasn't going in, she was trying to get out:

What followed was terrifying and gruesome.  I will spare you all of the details. The train sped up to 30 miles per hour and dragged Leonari about 300 feet before it stopped and she fell 30 feet to a secondary platform. During those terrifying moments, Leonari’s skin was ripped off and her leg was broken as her hands, stomach and body were dragged, burned and scraped along the subway platform. She was rushed to the hospital where she was diagnosed with:

  • Right leg Salter II fracture of the distal tibia with the fracture line extending through the tibia and into the growth plate
  • Second degree wounds and abrasions akin to burn injuries to approximately 10% of her body surface area

This poor 10 year old then underwent a nine day hospitalization in which her right leg was placed in acast from her torso to her ankle and, every four to six hours, she underwent excruciatingly painful tissue debridement to treat her burns. To the extent she could sleep at all, Leonari’s sleep was interrupted constantly with nightmares and screaming. At trial, she claimed she suffered significant post-traumatic stress symptoms.

Leonari started using crutches after two months (due to hand bandages she could not use them before) and finally after five months she began to walk unassisted (though with a permanent limp).

Trial on damages only resulted in a Bronx County jury verdict on August 14, 2006 in the sum of$3,000,000 for pain and suffering ($1,500,000 past – 5 years, $1,500,000 future – 63 years). In a decision released two days ago, the appellate court in Jones v. New York City Transit Authorityaffirmed the entire award and declared that the amount did not deviate materially from what would be reasonable compensation (the standard for review under New York’s CPLR 5501).

This is a stunning decision, especially in view of several facts not mentioned:

  • Plaintiff never underwent any surgery for either her leg fracture or her burns
  • Plaintiff didn’t undergo any psychological treatment until January 2005 when she first did so at the urging of her lawyers

We know that New York juries can and do render amazingly high (and low) pain and suffering verdicts from time to time; however, that’s why CPLR 5501 was enacted and that’s when appellate courts get into the action and modify the awards up or down as they see fit. Why in this case, though, did the appellate court allow $3,000,000 in pain and suffering damages to stand without any modification downward in view of what appears to be a non-catastrophic injury case? This is neither a case dealing with a paralyzed person, nor one on lifetime pain medication, nor one with an inability to walk at all.

Digging into all of the facts and reviewing the parties’ briefs on appeal, we have uncovered the following additional facts not mentioned in the court’s decision:

  1. Battle of medical experts: Plaintiff’s orthopedic expert was world-renowned David P. Roye, M.D. He’s a pediatric orthopedist who operates on kids 200 times a year. The defense orthopedist (who performs 70% of his work in the litigation field) conceded on the stand that Dr. Roye has superior knowledge in this field.
  2. Plaintiff’s broken leg was two centimeters shorter than her other leg due to the accident, and Dr. Roye, a published expert on leg length discrepancy, testified that this was quite significant and disabling, resulted in pelvic obliquity (a crooked pelvis) and will require surgery to repair. 
  3. Plaintiff was previously very active in multiple sporting activities, can no longer engage in any of them and now walks with a limp.
  4. Plaintiff’s right knee dislocated many times since the accident and she will require at least one knee surgery in the future.
  5. Plaintiff produced a plastic surgery expert who testified that her scars all over her abdomen, underneath her breasts and on both legs are permanent. Defendant failed to produce an expert to rebut this testimony and the jury was able to evaluate the scars in person at trial.
  6. Both parties presented expert testimony as to plaintiff’s psychological injuries. Plaintiff’s expert testified that she has a textbook case of post-traumatic stress syndrome with significant symptoms including nightmares, persistent fears, sleep problems, difficulty relating to people, concentration problems and flashbacks; while the defense expert disagreed on the basis of a 20 minute examination without having reviewed the medical records.
  7. Plaintiff’s mother testified that as a social worker with clinical training, she sought faith based counseling before turning to psychotherapy for her daughter. Clearly, this blunted the defense argument about the lack of “formal” counseling until her lawyers suggested it.

The defense conceded that this was a horrible incident and that the plaintiff deserved compensation for her pain and suffering; however, they argued that $3,000,000 was unreasonably high. In what may have been a tactical mistake, the defense suggested on appeal that they only challenged the future pain and suffering award of $1,500,000 and that the past pain and suffering sum (also $1,500,000) was reasonable. Then, they suggested that the court view the future pain and suffering verdict as having been rendered by the jury in three equal parts for orthopedic, dermatological and psychological injuries (i.e., $500,000 for each category). Finally, the defense asked the court to reduce the future pain and suffering award from $1,500,000 to $550,000 ($350,000 orthopedic, $100,000 each for dermatological and psychological).

The court must have considered the $350,000 concession by the defense for future orthopedic pain and suffering against the $500,000 (hypothetical) award to be a minor variance and not worth reviewing and then it simply declined to modify the (hypothetical) awards of $500,000 for future dermatological pain and suffering (against a $100,000 concession and 63 years of scars and disfigurement) and $500,000 for future psychological  pain and suffering (against a concession of $100,000 and 63 years of post-traumatic stress symptoms).

The only two cases cited by the court in its decision were Lopez v. Gomez (2003) and Carl v. Daniels (2000), each of which we discussed previously, here.  Each dealt with a youngster with a femur fracture ($1,500,000 affirmed for past pain and suffering in Lopez; $4,800,000 affirmed for past and future pain and suffering in Carl) and each seems relevant, though not dispositive.

Jones  v. New York City Transit Authority involved a unique combination of injuries with reciprocal exacerbating effects. It may, therefore, turn out to be a case that’s not oft-cited but it’s clearly one that grabbed the attention of the jury and so impressed the jury, the trial judge and the appellate court that $3,000,000 was awarded and affirmed for pain and suffering in a non-catastrophic injury case. It deserves to be studied.