These stylish bracelets are comprised of two sterling silver bars and a half string of sterling silver-plated beads, silver heart charms with a dark blue ribbon, and the words "Arthritis Awareness". The sterling silver plated charms are approximately 3/4 inch by 3/4 inch. This silver-plated bracelet features an elastic and toggle clasp that stretches the 7 1/2-inch bracelet to fit wrists of all sizes.