I don't have to twist my wrist I just reach back normally to draw.For clarity, I'm not suggesting anyone draw with their off hand. Just put the gun in an opposite hand holster if you're carrying SOB so you don't have to twist your wrist all the way around to grab it.
At least that's how my SOB holster is designed, it's like an upside down cross-draw.
So maybe other SOB designs require a wrist twist.