Ideal

• Medial borders are parallel to spine
• Superior angle is around second rib
• Inferior angles are level
• Inferior angles are around seventh rib
• Inferior angles are same distance from spine

You See

All Views

• Acromion process is lower
• Rounded shoulders

Anterior View

• Clavicle is depressed and angles downward

Posterior View

• Inferior angle is lower and medial border is parallel to spine – scapula is depressed
• Inferior angle is lower and medial border is on an angle to spine (closer to spine at inferior end) – scapula is depressed and downwardly rotated
• Inferior angle is lower and medial border is on an angle to spine (closer to spine at superior end) – scapula is depressed and upwardly rotated
• Medial border is further away from spine – scapula is protracted

Lateral View

• Possibly scapula protracted (abducted)
• Thoracic kyphosis excessive

Likely Cause

• Short scapular depressors, possibly housing triggerpoints, and/or long scapular elevators
• Short scapular downward rotators
• Scapula is elevated on OS
• Pelvis is elevated on OS
• Leg longer on OS
• Bigger hemipelvis on OS
• Spine is laterally flexed (see scoliosis) – short spine lateral flexors on OS, especially QL