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The Bilt-Rite Mutual Mesh Arm Sling -Closed End-XLarge- 4 pack (10-59400-XL-4) is constructed with a breathable, lightweight mesh material that has a 1" webbing strap and metal slide buckle. This design allows the brace to gently keep the shoulders back for proper posture control. Arm slings are indicated for providing elevation, protection, and support to hand, arm and/or shoulder as a result of injury, surgery and post cast. For proper fit, measure forearm from elbow to base of little finger. Available in SMALL 11”-13” MEDIUM 13”-14” LARGE 14.5”-15.5” XLARGE 15.5” and up.