The Omega Elbow pad uses a light weight breathable Lycra and “Dry Fit” mesh back section with an internal soft air plush lining to keep the pad well ventilated, and compression Lycra with Kenesio™ bands and multiple Sharkskin neoprene grippers to keep the pad firmly in place without the needs for straps. To protect your elbow from impact. Fuse use a brand new 30% lighter SAS-TEC insert to give you ultimate levels of protection without sacrificing maneuverability. Size: X Large - XX Large, Large/X Large, Small - Medium, Medium - Large, XXX Large