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Comfortable splint provides direct support for the thumb CMC joint while allowing full finger function The same CMC thumb wraparound orthosis as right, with the addition of a firm, moldable insert inside the thumb strap. Microwave the thumb strap to soften the thermoplastic insert, then mold it to fit precisely along the thenareminence crease. Thumb strap helps to abduct and stabilize the first metacarpal and open the thumb web space. Ideal for treating thumb deformity and contractures due to neurological conditions, median nerve injuries or arthritis, especially where the thumb is held abducted against the palm. Plus sizes are a half size bigger in the hand and a full size larger in thumb circumference to accommodate enlarged thumb conditions. Hand wash and air dry. Latex free. Measure MCP circumference to determine size: Size: Toddler – 4.5′-5.5′ (11-14cm) Size: Youth – 5.5′-6.5′ (14-117cm) Size: Small – 6′-7′ (15-18cm) Size: Small+ – 6.5′-7.25′ (17-18cm) Size: Medium – 7′-8′ (18-20cm) Size: Medium+ – 7.8′-8.25′ (20-21cm) Size: Large – 8′-9′ (20-23cm) Size: Large+ – 8.25′-9.5′ (21-24cm)