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The Bilt-Rite Mutual Closed End Arm Sling-Small- 4 pack (10-59020-SM-4) is a traditional envelop-style arm sling and one of the most useful. The envelop design comfortably distributes the weight of the arm following surgical or nonsurgical treatment of the arm, hand or shoulder. Application and removal couldn't be easier with the fast and simple slide buckle adjustment. Available in SMALL 11”-13” MEDIUM 13”-14” LARGE 14.5”-15.5” XLARGE 15.5” and up. Measure forearm from elbow to base of little finger.