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Multiple realities
(covers information from several alternate timelines)
Archer vulcan salute, KirShara

Captain Jonathan Archer's hand displaying the Vulcan salute

Voth hand

A Voth hand

A hand was an anatomical appendage that had developed on many humanoid species, the primary function of which was grasping, holding, typing, etc. The hand played an integral part in the sense of touch, since many humanoid species used their hands for tactile feedback.

Humanoid hands tended to vary with both number of hands and number of digits on each hand: Voth and a species from Tau Alpha C had three fingers per hand, while Humans had five; as well, Edosians had three hands, while Terellians, and a pianist on Qualor II, named Amarie, had four hands.

In 2151, Doctor Phlox treated Crewman Alex, who had first-degree burns on his right hand, from the seal of a nitrogen valve having blown when he had been trying to reroute the valve. The hand injury (and a similar burn on Alex's forehead) was treated with dermaline gel. (ENT: "Dear Doctor")

In the writers' first draft script of ENT: "Dear Doctor", this scene instead involved Trip Tucker having a laceration on his hand that was initially covered with a rag. Tuker's injured hand was about to be bandaged by Doctor Phlox when the sight of blood in the wound caused a large, tough-looking engineering officer who was standing nearby to suddenly faint, so Phlox then switched his focus to the felled giant.
Apollo's hand grips the Enterprise, remastered

A force field in the shape of a giant green hand holds the Enterprise captive

In 2267, the being who claimed to be the Greek god Apollo captured the USS Enterprise by generating a powerful force field in the shape of a giant green hand. This encounter was one of several witnessed by the tardigrade "Ephraim" during her attempts to be reunited with her eggs. A legend of a similar giant green hand was told in the alternate reality as one of the possible causes of the disappearance of the USS Franklin. (TOS: "Who Mourns for Adonais?", ST: "Ephraim and Dot", Star Trek Beyond)

In 2376, observing The Doctor's nude sketches of Seven of Nine in a holodeck fantasy, Captain Kathryn Janeway commented that he drew the hands well. (VOY: "Tinker Tenor Doctor Spy")

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