projets
ATA/23/1997 ΓÇó Natural causality for shoulder tendon rupture after fall
ATA/23/1997Cour de justice / Chambre administrative15 janv. 1997Dismissed
The administrative court dismissed the claimant's challenge to the denial of accident-insurance coverage. It held that the shoulder injury, namely a rupture of the rotator cuff, was not sufficiently linked to the fall by predominant natural causality. A merely possible causal relationship did not satisfy the requirements of Art. 9(2) OLAA for an assimilated bodily injury.
Art. 9 al. 2 OLAA; assimilated bodily injury and natural causality; the insured event is covered only if the listed bodily injury is caused by an accident with predominant natural causal probability. A merely possible causal connection, or an explanation based on predisposition without sufficient probability of accident-related origin, does not meet the proof standard. The claimant bears the burden of establishing the requisite causal link; if the fall is only one possible cause among others, coverage must be denied (consid. not specified).
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; LESION DE L'EPAULE; LESION DES TENDONS; CAUSALITE NATURELLE; PREDISPOSITION; LESION CORPORELLE ASSIMILEE A UN ACCIDENT; ASSU
Normes
OLAA.9 al.2
Résumé
Le TA a dénié à la recourante le bénéfice de l'art. 9 al. 2 OLAA, la rupture de la coiffe des rotateurs dont elle a été victime n'étant pas liée à sa chute de manière prépondérante (cause possible et non vraisemblable).