Standing or sitting
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.
Posterior to the patient.
May I place my fingers on your shoulder blade? (or point to the demonstrated area)
With the patient relaxed, gently place your fingers around the scapula.
VH - close up of the posterior skeleton showing the scapula.