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The Bilt-Rite Mutual 7" Wrist Splint-Right-Beige-XL (10-22092) is made of elastic for lightweight support with stretch compression. It has a wide, malleable and removable palmar stay and its low profile design allows for maximum grip strength and finger dexterity. The stay maintains the wrist in the cock-up position but it can be reversed to provide for the cock-down position. Application can be accomplished with just one hand using the simple hook and loop closures. For best fit, measure your wrist circumference. Small fits 6-7 inches, Medium 7-8 inches, Large 8-9 inches and XLarge 9-10 inches.