ATA/234/1996•No natural causation between accident and shoulder lesions
ATA/234/1996Court of Justice / Administrative ChamberApr 30, 1996Dismissed
Extracted by Omnilex
An insured person sought treatment or compensation on the basis that shoulder lesions resulted from an accident. The court found no natural causal link between the alleged accident and the lesions. It further held that the condition could not be assimilated to an accident because it was shown to be the exclusive consequence of a pathological process that did not manifest itself through a sudden event. The claim was therefore rejected.
Art. 9 al. 2 LAA; natural causation and accident-equivalent injury: a lesion is not accident-related where the evidence shows that it derives exclusively from a pathological process. In such a case, the absence of a sudden triggering event excludes both natural causal linkage to an accident and assimilation to an accident under the statutory list of accident-equivalent injuries.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; CAUSALITE NATURELLE; LESION CORPORELLE ASSIMILEE A UN ACCIDENT; ASSU
Normes
LAA.9 al.2
Résumé
Pas de causalité naturelle entre accident et lésions à l'épaule de l'assuré. Ces lésions ne résultent donc pas d'un accident et ne peuvent pas non plus être assimilées à un accident dès lors qu'il est démontré que la lésion est la conséquence exclusive d'un processus pathologique qui ne s'est pas manifesté à l'occasion d'un événement soudain.
Extracted by Omnilex
Whether there was natural causation between the accident and the shoulder lesions.
No natural causation was established.
The lesions were found to result exclusively from a pathological process and not from the sudden event invoked as an accident.
Whether the shoulder lesions could be treated as an accident-equivalent injury.
No; the lesions could not be assimilated to an accident.
Because the lesion was the consequence exclusively of a pathological process that did not manifest itself in connection with a sudden event, the statutory conditions for accident-equivalent treatment were not met.
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