I got thinking about things and realized I simply needed a spacer between the 224 and the 5mm adapter to change the rotational alignment. I 3D printed some spacers and after a few I got one that was the perfect thickness to allow the guide camera to be in the right position.
While it would be great if there was some way to adjust the 5mm spacer via rotation this solution should work just fine since the spacer is only used in a state of compression.