title: Percutaneous Cementoplasty for Kienbock's Disease.
abstract: Kienböck disease typically presents with wrist pain, swelling, restricted range of motion, and difficulty in performing activities of daily living. Because the etiology and evolution of disease remain unclear, broad ranges of treatments have been designed. Percutaneous cementoplasty is expanding its role for managing painful bone metastases outside the spine. We can draw a parallel between lytic tumoral lesions and Kienbock's disease. Increasing the strength and rigidity of lunate with cementoplasty can prevent it from collapse, relieve the symptoms associated with the process of avascular necrosis, and increase the wrist range of motion. We report the case of 30-year-old man with a painful stage IIIA Kienböck disease who underwent percutaneous cementoplasty and experienced immediate effective pain relief and recovery of wrist mobility.
authors.affiliation: Vascular and Interventional Radiology Unit, Hospital Príncipe de Asturias, Madrid, Spain. dreduardocrespo@gmail.com.
authors.forename: Eduardo Crespo
authors.identifier: http://orcid.org/0000-0003-0214-3040
authors.initials: EC
authors.lastname: Vallejo
authors.affiliation: Neurointerventional Radiology Unit, Fundación Jimenez Diaz, Madrid, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Martinez-Galdámez
authors.affiliation: Vascular and Interventional Radiology Unit, Memorial Sloan-Kettering Center, New York, NY, USA.
authors.forename: Ernesto Santos
authors.initials: ES
authors.lastname: Martin
authors.affiliation: Department of Orthopedic Surgery, Hospital Príncipe de Asturias, Madrid, Spain.
authors.forename: Arturo Perera
authors.initials: AP
authors.lastname: de Gregorio
authors.affiliation: Vascular and Interventional Radiology Unit, Hospital Príncipe de Asturias, Madrid, Spain.
authors.forename: Miriam Gamo
authors.initials: MG
authors.lastname: Gallego
authors.affiliation: Radiology Unit, Hospital Príncipe de Asturias, Madrid, Spain.
authors.forename: Angeles Ramirez
authors.initials: AR
authors.lastname: Escobar
mesh_terms: D000328:Adult; D060826:Cementoplasty / Q000379:methods*; D006801:Humans; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Cementoplasty; Kienböck disease; Lunate bone