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Comfort Cool CMC Restriction Splint, Size: Small Plus, RightComfortable splint provides direct support for the thumb CMC joint while allowing full finger function.Wraparound supports are made of thin, 1/16“ (1.6mm) perforated neoprene with a terrycloth liner that helps keep skin cool and comfortable. Anti-microbial and latex-free.Specifically designed for osteoarthritis and medial subluxation of the thumb CMC joint. Provides gentle compression that helps relieve thumb discomfort associated with CMC joint arthritis and/or instability, tendinitis or repetitive motion. Contoured neoprene strap wraps around the thumb CMC joint and the first metacarpal for direct CMC joint support.Plus sizes are a half size bigger in the hand and a full size larger in thumb circumference to accommodate enlarged thumb conditions. Pediatric sizes are available in black. Adult sizes available in black and beige. Reinforced stitching allows the splint to be trimmed below the thumb MP joint if desired. Machine wash and air dry. SizeToddler: Palm circumference 4½ “ to 5½ “ (11 to 14cm)Youth: Palm circumference 5½ “ to 6½ “ (14 to 17cm)Small: Palm circumference 6“ to 7“ (15 to 18cm)Small Plus: Palm circumference 6½ “ to 7¼ “ (17 to 18cm)Medium: Palm circumference 7“ to 8“ (18 to 20cm)Medium Plus: Palm circumference 7?“ to 8¼ “ (20 to 21cm)Large: Palm circumference 8“ to 9“ (20 to 23cm)Large Plus: Palm circumference 8¼ “ to 9½ “ (21 to 24cm)X-Large: Palm circumference 9“ to 10“ (23 to 25cm) Product photo may not exactly match the product offered for sale. Please refer to the product description.