Signet ring sign (scaphoid)

Last revised by Leonardo Lustosa on 24 Aug 2024

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.

Cases and figures

  • Figure 1: signet ring
  • Case 1: scapholunate dissociation
  • Case 2: scapholunate ligament disruption
  • Case 3: lunate dislocation
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