Body Glove 90171 Breathable Neoprene Elbow Sleeve with Compression Strap, Black, XX-Large Breathable, Open-Cell Neoprene For Comfort In Hot Conditions Contoured, Sized Fit Compression Strap Reduces Over grip Breathable, open-cell neoprene for comfort in hot conditions Contoured, sized fit Compression strap reduces overgrip Fully lined, smooth interior Measure around center of elbow joint. XX-Large fits 13-1/4-inch to 14-inch.