Ideal

• Medial Borders are parallel to spine

You See

• Root of spine is closer to spine than inferior angle – scapula is upwardly rotated
• Inferior angle is closer to spine than root of spine – scapula is downwardly rotated

Likely Cause

Scapula is upwardly rotated

• Short scapular upward rotators
• Long scapular retractors

Scapula is downwardly rotated

• Short scapular downward rotators