Clinical applications

Swibrace offers made-to-measure orthoses for a wide range of orthopaedic, traumatic and post-operative indications. Our splints are designed to meet medical needs and to ensure patient comfort and recovery.

Precautions All Swibrace splints are comfortable. The patient should not feel any pain under the splint, nor swelling or cynosis (red or purple colour) of the fingers. In the event of pain, swelling of the fingers or abnormal colouring of the fingers, the brace should be considered unsuitable. This problem could be linked to an inadequate scan of the limb from which the splint was generated, or to an evolving cause of swelling. In all cases, the patient should immediately reconsult the medical team who prescribed the brace. Do not leave the brace in a car in summer, as the high heat in the vehicle could deform it.

Notes for healthcare professionals For wrist immobilisation splints, to avoid pressure on the ulnar head, it may be useful to scan the limb with a small layer of rehabilitation paste ("Putti") on the skin at this level. If the wrist or fingers are swollen at the time of the scan, there is a risk that the splint will be too wide when deflated, so wait a few days before ordering the Swibrace splint. Please also note that although our splints do not generally need to be modified during treatment, as they are perfectly anatomical, if this should prove necessary, they can be deformed under heat (hot water or hot air).
Wearing the Swibrace splint should not cause pain, swelling and/or cynosis (red or bluish colour) of the fingers. In the event of pain, swelling of the fingers or abnormal colouring of the fingers, consult your doctor immediately.

Advice for healthcare professionals 

Avoid scanning a swollen limb, otherwise the splint will no longer fit once the limb has deflated. If you are afraid of a skin pressure spike, for example at the ulnar head, put a little rehabilitation paste ("putti") on the skin in this area before the scan, so that the splint is slightly distanced from the skin in this area.

Carpal tunnel syndrome

Description
A common condition caused by compression of the median nerve at the wrist, resulting in dysaesthesia/paraesthesia (numbness and tingling) of the fingers. In the early stages, a splint worn at night can reduce symptoms.
Scanning tips
Scan the wrist in a neutral or slightly dorsiflexed position.
⚠️ Avoid marked palmar or dorsal flexion (Phalen / reverse Phalen).
Design advice
- Use a short wrist-forearm splint.
- Make the cut proximal to the wrist so as not to restrict rotation of the forearm.
Benefits
Lightweight and well-tolerated
Comfortable for regular night-time wear

Recommended orthosis 

Wrist orthosis
Wrist-forearm immobilisation orthosis with narrow latero-ulnar opening.
Order

De Quervain's tenosynovitis

Description
Inflammation of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons of the thumb at the wrist. For less advanced cases, a splint restricting movement of the thumb provides effective relief.
Scanning tips
CT scan with thumb at rest, first commissure open.
Design advice
- Choose a relatively short wrist-scaphoid splint.
- Make the cut proximal to the wrist.
Benefits
Thumb support
Quickly relieves tendon pain

Recommended orthosis 

Scaphoid orthosis
Thumb-wrist-forearm immobilisation orthosis with a narrow latero-ulnar opening.
Order

Radial nerve paralysis

Description
Damage to the radial nerve causing loss of wrist and finger extension. A splint keeps the wrist in dorsiflexion and improves function during recovery.
Scanning tips
Scan the wrist in marked dorsiflexion.
⚠️ Hold your fingers during the scan if necessary.
Design advice
- Use a short wrist-forearm splint.
- Proximal section close to the wrist.
Benefits
Improves hand function despite paralysis
Lightweight, comfortable splint that lasts
Washable and robust

Recommended orthosis 

Wrist orthosis
Wrist-forearm immobilisation orthosis with narrow latero-ulnar opening.
Order

Rhizarthrosis (osteoarthritis of the base of the thumb)

Description
Common degenerative osteoarthritis between the trapezium and the base of the first metacarpal. It causes pain, deformity, loss of strength and functional discomfort. The splint helps to relieve the pain without restricting everyday movements.
Scanning tips
- Scan the thumb in slight opposition, in the beer-drinking position. The therapist's finger can reduce the subluxation of the base of the metacarpal, so virtually remove this finger from the scan.

- Neutral position or slight palmar flexion of the MCP.
Design advice
Create a splint for the day or night as required:
- Day: neutral position or slight MCP flexion. The flexible splint with no latero-ulnar opening is particularly suitable, facilitating support on the ulnar edge of the hand with no opening for writing or using the computer.
- Night: include immobilisation of the trapeziometacarpal joint.
Benefits
Relieves chronic pain
Allows everyday use of the thumb
Discreet and comfortable to wear

Recommended orthotics 

V1 Rhizarthrosis Orthosis
Thumb immobilisation orthosis for rhizarthrosis with narrow lateral opening.

Orthesis for Rhizarthrosis V2
Thumb immobilisation orthosis for rhizarthrosis with wide lateral opening.
V3 Rhizarthrosis Orthosis
Thumb immobilisation orthosis for rhizarthrosis without lateral opening.
Orthesis for Rhizarthrosis V4
Thumb immobilisation orthosis for rhizarthrosis with wide lateral opening and wide thumb opening.
Order

Skier's thumb (ligament sprain)

Description
Damage to the medial collateral ligament of the thumb's MCP, often as a result of trauma. Surgery is sometimes necessary, but moderate forms are treated with splints.
Scanning tips
Scan the thumb in neutral or slight palmar flexion.
⚠️ Avoid any joint subluxation.
Design advice
Use a "rhizarthrosis" type splint with immobilisation of the thumb MCP.
Benefits
Effectively stabilises the joint
Compatible with daily wear
Does not interfere with dressing

Recommended orthosis 

V2 rhizarthrosis orthosis
Thumb immobilisation orthosis for rhizarthrosis with wide latero-ulnar opening
Order

Fracture of the distal radius (non-surgical)

Description
Frequent fracture. If there is no displacement, conservative treatment is possible. In this case, the Swibrace anatomical splint is very suitable and provides excellent support. Regular X-ray monitoring is recommended to detect any secondary displacement that might require surgery. In the case of osteosynthesis of an unstable and/or displaced distal radius fracture using a palmar plate, the Swibrace splint can replace the postoperative cast (after deflation, around the tenth day). The splint can sometimes be used for sports prevention, in the event of frequent falls on the wrist. However, care must be taken not to encourage a forearm fracture in the event of violent trauma (medical consultation required before use for sports prevention).
Scanning tips
Wrist in neutral position or slightly dorsiflexed.
⚠️ Avoid marked palmar flexion.
Design advice
- Long forearm splint for correct stabilisation.
- The splint may also immobilise the thumb if the fracture is slightly unstable.
Benefits
Upper orthopaedic support
Comfortable and lightweight, the splint can be worn under clothing.

Recommended orthosis 

Wrist orthosis
Long wrist-forearm immobilisation brace with narrow latero-ulnar opening. The thumb can be free, the alternative being the scaphoid splint.
Order

Scaphoid fracture (non-surgical)

Description
Fracture of a small carpal bone (wrist), often caused by a fall. Surgical treatment is often necessary. When the fracture is stable and not displaced, prolonged strict immobilisation may suffice. Obviously, a splint can also be put in place after the fracture has been screwed, around the tenth day, after the swelling has subsided.
Scanning tips
- Wrist in neutral position or slightly dorsiflexed.

- Thumb at rest, without excessive opposition.
Design advice
Long forearm wrist splint that also immobilises the proximal phalanx of the thumb.
⚠️ Take care not to compress the base of the thumb.
Benefits
Prolonged reliable immobilisation, with good support for the fracture.
A light, comfortable brace that can be worn under clothing.

Recommended orthosis 

Scaphoid orthosis
Wrist-thumb-forearm immobilisation orthosis with a narrow latero-ulnar opening.
Order

Ligament injuries of the wrist

Description
Wrist sprains are serious injuries, often requiring ligament repair surgery. If the injury is benign, with no fractures or biomechanically significant ligament damage, splinting may be indicated, and the Swibrace orthosis is very suitable (as it is after surgical repair, during ligament healing).
Scanning tips
Scan the hand in a neutral, functional position, without excessive tension on the injured ligaments.
Design advice
- Use a wrist-forearm splint, which can be quite short.
Benefits
Lightweight, durable splint.
Can be worn under clothing.

Recommended orthosis 

Wrist orthosis
Order

Trigger finger

Description
Spring finger is characterised by a painful blockage in flexion of the finger, caused by blockage of the flexor tendon(s) at the beginning of their digital sheath (reinforced by an A1 pulley). Treatment may be conservative: corticosteroid infiltration and/or splinting to limit finger flexion. If this conservative treatment fails, open or percutaneous surgery (Spirecut) is indicated. For splint treatment, the Swibrace metacarpophalangeal SwiRing is well suited, limiting the metacarpophalangeal flexion that initiates locking flexion of the finger, without significantly limiting hand function.
Scanning tips
For this condition, a scan of the hand can be dispensed with. Swibrace supplies a ring gauge to determine the diameter of the proximal phalanx of the finger, and to order the most suitable metacarpophalangeal SwiRing.
Design advice
The metacarpophalangeal SwiRing limits flexion of the finger and therefore painful locking. The splint may break after a few weeks, which is why Swibrace supplies three identical splints per order.
Benefits
Relieves the patient's pain.
Lightweight, easy-to-wear splint.

Recommended orthosis 

Metacarpophalangeal swing (coming soon)
Orthesis for immobilising the finger.
Order

Swan neck deformation

Description
Finger deformity characterised by hyperextension of the PIP (proximal interphalangeal) joint and flexion of the DIP (distal interphalangeal) joint. Common in inflammatory conditions such as rheumatoid arthritis, it can severely impair hand function.
Scanning tips
For this condition, a scan of the hand can be dispensed with. Swibrace supplies a ring gauge to determine the most suitable diameter of the proximal phalanx of the finger, and to order the SwiRing of the appropriate size.
Design advice
The SwiRing holds the proximal interphalangeal joint in slight flexion, making it easier for the patient to flex the finger. The splint may break after a few weeks, which is why Swibrace supplies three identical splints per order.
Benefits
Improves function without compromising grip.
Light splint to wear.
Discreet, elegant design.

Recommended orthosis 

SwiRing brace (coming soon)
Order

Mallet Finger

Description
Injury to the terminal extensor tendon (at the base of the last phalanx) causing the fingertip to fall. Treatment: strict immobilisation of the DIP joint for 6 to 8 weeks.
Scanning tips
- Scan the DIP joint in full extension.

- Keep your finger stable during the scan (support or other finger).
Design advice
- A highly localised, rigid DIP splint that is comfortable to wear for prolonged periods.
- Tailor-made to prevent accidental bending.
Benefits
Ultra-precise targeted immobilisation
Easy, continuous wearing
Promotes effective healing

Recommended orthosis 

SwiRing® orthosis
Order

Finger sprain

Description
Finger sprains, which are common among sportspeople, mainly affect the PIP (proximal interphalangeal) joint. As the finger stiffens quickly, it is beneficial to keep the joint mobile while the ligament heals. The SwiRing proximal interphalangeal orthosis prevents hyperextension of the finger (healing of the palmar plate) and provides lateral support (healing of the collateral ligament injury) while allowing flexion of the finger. The splint is contraindicated in cases of traumatic buttonhole deformity (rupture of the central band of the extensor apparatus of the finger).
Scanning tips
For this condition, a scan of the hand can be dispensed with. Swibrace supplies a ring gauge to determine the most suitable diameter of the proximal phalanx of the finger, and to order the correct size interphalangeal SwiRing.
Design advice
The proximal interphalangeal SwiRing prevents hyperextension of the finger and stabilises it laterally. Flexion of the finger remains possible. The splint may break after a few weeks, which is why Swibrace supplies three identical splints per order.
Benefits
Promotes ligament healing by preserving finger flexion.
Discreet, elegant design, very light. 
The proximal interphalangeal SwiRing can be used for sports prevention.

Recommended orthosis 

SwiRing brace (coming soon)
Order

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