Claims view · Claim file

Teresa Vance

51F · Claim 7-461203 · DOI Jan 19, 2026 · Adjuster T. Alvarez · Jurisdiction WI

Rotator cuff tear, rightPost-op week 14Claim reopenedHaven: review

Claim summary

Claim number

7-461203

Date of injury

Jan 19, 2026

Injury

Full thickness rotator cuff tear, right shoulder

Cause

Fall from step stool, stockroom

Occupation

Retail stockroom lead

Benefit status

TTD, reinstated after reopening

Surgery

Arthroscopic repair, Apr 14, 2026

Paid to date

$31,540

RTW target

Under re-evaluation after setback

Haven voice trend · scheduled check-in calls

Call date	Mood	Fatigue	Stress	Drift index
May 12 · post-op wk 4	55	51	47	40
Jun 9 · post-op wk 8	58	48	44	36
Jun 30 · post-op wk 11	47	62	55	54
Jul 20 · post-op wk 14	43	71	58	63

Imaging on file

Shoulder radiograph from the claim file — Shoulder series at intake, followed by MR arthrogram confirming a full thickness supraspinatus tear. Post-repair imaging on file at the surgical center.

Medical timeline

Jan 19, 2026 · Urgent care

Fall onto the outstretched right arm. Initial films negative for fracture, sling and conservative care.

Mar 3, 2026 · Orthopedic consult

Persistent weakness at 6 weeks. MR arthrogram confirmed full thickness supraspinatus tear. Surgical repair recommended.

Apr 14, 2026 · Surgery

Arthroscopic rotator cuff repair, uncomplicated.

Jun 27, 2026 · Setback

Sharp pain during a home exercise session. Repair intact on exam, progression paused. Claim reopened for extended therapy.

Jul 18, 2026 · PT progress

Motion regressing, therapist documents guarding and low confidence in the shoulder. Fear of reinjury raised for the first time.

Current work status

Status

Off work, TTD reinstated

Restrictions

No overhead activity, no lifting with the right arm

Next review

Orthopedic re-evaluation, week 16

Note

Six months on the file. Duration risk rising

Haven signal

The trend was improving until the June setback and has moved the wrong way since: fatigue up 23 points across three calls. The therapist's note about fear of reinjury matches what the voice has been saying for a month. Fear-avoidance after a setback is the classic long-tail turn on a shoulder claim. A graded-exposure conversation now is cheaper than a second surgical opinion later.