Shipped ahead time, was as described using it to see how it hold up. Black also offers Toddler or Youth size options. If you have any questions or discover any damage, defect or missing items from your order, you have 5 days from receipt of the item to advise us of this in writing via Ebay communications. Treatment generally involves a combination of medication and splints. Previous trauma or Comfort cool thumb cmc restriction splint to the thumb joint also can cause thumb arthritis.