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People have been speculating about this since the Inaugural Parade (above); but I've seen at least one video of him opening a door for her using his so-called fake hands. Notice in the pic above the fingers change positions on both hands. It appears that it's just a habit he has. His entire build is a bit unusual.
I do see that in all the photos of him on this post, his coats are cut very wide around the midsection, which is where the holster(s) may be strapped.
The fake hands like have battery operated finger movements.