I read all the reviews. People have said they run small and believe me they really do. I am a 175 lb female, 5ft 7in tall. I don't have fat hands but they fit well, I'm so glad I bought the X Large, the pad itself can be a bit big, I sure could run with a big one. Nice solid plastic, and not only the shoulder straps, but also full arm coverage. That's not the case with knee pads, I can't even use them. But I will write about this separately. I'm happy with these elbow pads the way they are, definitely feel protected.
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