PULLED LEFT SHOULDER WHILE TURNING THE MANUAL BRAKE WHEEL ON A RAILCAR. ACCIDENT OCCURRED ON 4/14/03. THE EMPLOYEE FIRST SAW THE DOCTOR ON 4/17/03. THE EMPLOYEE WAS TREATED WITH PHYSICAL THERA PY UNTIL TI WAS DETERMINED SURGERY WAS NEEDED. THIS HAS NOW RESULTED IN A LOST TIME ACCIDENT STARTING 7/11/03.