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The Bilt-Rite Mutual Universal Closed End Arm Sling - 4 pack (10-59040-4) is our one-size-fits-all version of the traditional envelop-style arm sling. 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. For a more customized fit, see our item #10-59020 which is available in Small, Medium, Large and XLarge.