I recommend that you measure MORE than 4" above kneecap. I was 171/2 at their point and 181/4 where the top hits my thigh.If your thigh is even a little larger at 5" up, it will be a better measurement .NOTE: THE STRAP MOST LIKELY WILL NOT REACH ALL THE WAY AROUND THE THIGH PORTION.I don't know why, but it seems too short. I almost wish there wasn't a wrap around strap because the sleeve itself is comfortable and snug.
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