The hand of benediction, also known as benediction sign or preacher's hand, has been said to occur as a result of prolonged compression or injury of the median nerve at the forearm or elbow. More recently it has been shown that the clinical appearance of a high median nerve palsy is different from the classical hand of benediction or preacher's hand posture pointing finger. In this article "High Median Nerve Paralysis: Is the Hand of Benediction or Preacher's Hand A Correct Sign?" it shows that the hand of benediction or preacher’s hand is incorrectly associated with a high median nerve lesion. https://pubmed.ncbi.nlm.nih.gov/36320624/
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