Standing, sitting, or prone
For women, a gown over the non-examined side with the examined area exposed or a halter top is recommended.
For men, removal of the shirt is requested.
Directly posterior to and facing the scapula.
May I place my fingers on the bottom of your shoulder blade?
(or point to the demonstrated area)
With the patient relaxed, place your thumb on the inferior surface of the scapula.
VH - close up of the posterior skeleton showing the scapula.