Which factor would yield a poor prognosis in management of a patient with an elbow injury?

• A. Quick response to therapy
• B. Immediate surgical intervention
• C. Lack of visible swelling
• D. Delayed presentation for treatment

Answer: (D)

In the context of managing an elbow injury, delayed presentation for treatment is associated with a poor prognosis for several reasons. When a patient delays seeking treatment, there's a risk of worsening the injury or complications arising during that time. These complications can include increased inflammation, impaired healing, or even chronic pain and dysfunction. Additionally, with time, certain conditions can become more difficult to diagnose and treat effectively.

For instance, an injury that could have been treated conservatively might require more invasive interventions if not addressed promptly, leading to a longer recovery period and potentially worse long-term outcomes. Therefore, timely medical evaluation and intervention are crucial in optimizing patient outcomes after an elbow injury, making delayed presentation especially detrimental to prognosis.