Vintage leather wrist cuff, adorned with Navajo Sterling Silver Concho & Buttons. Styled after a Ketoh (bow guard). On heavy leather this cuff will fit any wrist up to 7. With extra holes to go smaller if needed. Standing2-1/2 tall, it secures by tying off a leather lace to fit. The leather is stamped with traditional stamping as well. The leather band is most likely a replacement from the original.