Originally Posted by
sumgy
The position in picture 1 would see my wrists "cocked" and put too much pressure on my hands leading to hand and shoulder pain.
That's exactly how I felt when trying the "traditional" setup: my wrists were not straight on the ramps but bent at a weird angle, instead. Since most of my riding is on the ramps I left them horizontally, but the drops ended up at a weird angle. Here's a picture of my actual bike (sorry for the paint, I didn't did that).