Orfit Precuts Anti-spastic Splint + Thumb piece offers an easy way to manage the patient with spasticity of the upper extremity. The volar-dorsal design and separate thumb piece make orthotic creation easier. The splint maintains the wrist and fingers in extension. Orfit Precuts are appropriate for many diagnostic conditions, especially when both volar and dorsal support is needed. The Orfit Precuts come in multiple sizes: Small is suitable for 2.2" to 2.75" sized hands; Medium is suitable for 3.13" to 3.5" sized hands; and Large is suitable for 4" to 4.3" sized hands. The item shown is Orfit Classic Pre-Cuts Anti-Spastic Splint + Thumb Piece, 1/8" non perforated, large.