Citation, DOI, disclosures and article data
Citation:
Hacking C, Lustosa L, Campos A, et al. Signet ring sign (scaphoid). Reference article, Radiopaedia.org (Accessed on 30 Mar 2025) https://doi.org/10.53347/rID-159962
Disclosures:
At the time the article was created Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Craig Hacking's current disclosures
The signet ring sign, cortical ring sign, or just ring sign refers to the rounded cortex of the scaphoid tubercle on an AP or PA wrist radiograph due to rotatory subluxation from flexion of the scaphoid. It is seen in injuries of the scapholunate ligament (scapholunate dissociation) and the related perilunate and lunate dislocations but can be seen in normal wrist radiographs 1,2.
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1. Abe Y, Doi K, Hattori Y. The Clinical Significance of the Scaphoid Cortical Ring Sign: A Study of Normal Wrist X-Rays. J Hand Surg Eur Vol. 2008;33(2):126-9. doi:10.1177/1753193407087572 - Pubmed
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2. Francis A. Burgener, Martti Kormano, Tomi Pudas. Differential Diagnosis in Conventional Radiology. (2008) ISBN: 9781588902757 - Google Books
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