Systems and methods for controlling an X-ray imaging system are described. The systems and methods typically include a support arm with a first end and a second end. The first end of the support arm connects to an articulating arm assembly and the second end of the support arm pivotally attaches to an X-ray imaging arm at a pivot joint so that the pivot joint functions as an axis of orbital rotation for the X-ray imaging arm. One or more controls for the X-ray imaging system are disposed on the support arm for the X-ray imaging arm. The controls can therefore remain stationary while the X-ray imaging arm rotates orbitally. The support arm can include a single member or a double member and one or more controls can be disposed on each member of the support arm. Other embodiments are also described.