M Eisenhauer | PubMed Health

PubMed1995

[Recall errors in locating cities on a map].

Three experiments investigated whether hindsight bias--a systematic distortion of the recollections of numerical estimates--is also observed with visuo-spatial material. Subjects estimated the location of 20 German cities on an empty map, received feedback about the true locations, and were then requested to recall their earlier estimates. Additionally, we tested each subject's intelligence, field dependency, and visuo-spatial abilities. In experiment 1, in which experimental and control items (i.e. those with and without feedback) were given to the same subjects, hindsight bias was observed, but only in one out of three dependent measures. The same pattern of results emerged in experiment 2, despite the use of a different mode of data collection. Experiment 3, in which experimental and control items were given to different subjects, found a strong hindsight bias in all three dependent measures. The personality features showed no correlation with the amount of individual hindsight bias. All three experiments provided evidence that hindsight bias occurs with visuo-spatial material.

Adult↗

PubMedDate not supplied

The utility of a bone scan in the diagnosis of clinical scaphoid fracture.

The incidence of true scaphoid fracture and the value of radionuclide scan was evaluated in a 1-year retrospective review of 54 emergency department patients with a preliminary diagnosis of clinical scaphoid fracture (snuff box tenderness and negative initial X-ray study). All emergency department charts of patients with a discharge diagnosis of clinical scaphoid fracture were reviewed to determine the number ultimately found to have a true scaphoid fracture and to ascertain how the diagnosis was actually achieved. All patients were managed by immobilization in a thumb spica cast for a period of 10-14 d, with repeat clinical assessment and radiographs at that time. The diagnosis of true scaphoid fracture was confirmed radiographically at the time of reassessment or, in the case of persistent tenderness and negative repeat radiographs, by the use of a technetium bone scan. In our study group, only 8 of 54 patients (14.8%) were found to have a final diagnosis of true scaphoid fracture. In 75% (6/8) of these patients, the diagnosis was made by technetium bone scans, as the radiographs remained negative at the time of reassessment. In addition, a bone scan revealed the presence of two previously unsuspected fractures (one distal radius fracture and one triquetral fracture) in two patients with continued clinical tenderness. This study confirms the previously reported low incidence of scaphoid fractures in patients with a diagnosis of clinical scaphoid fracture. It also demonstrates the importance of technetium bone scan as a diagnostic tool of increased sensitivity, as compared to traditional radiographs, in detecting the presence of scaphoid fractures and in detecting other clinically unsuspected fractures in this group of patients.

Adolescent↗