I emailed Eric Cressey with my question. He sent me a quick video showing an Elbow Supported External Rotation that can be used as a substitute.

Sit with your arm straight out to your side, elbow bent at 90 degrees, elbow supported at the top of an incline bench set at about 45 degrees. Hold a light dumbbell and rotate up and down the entire range of motion keeping your elbow pointed straight out.

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What don't kill you make you more strong -- Metallica - Death Magnetic