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Shoulder and intrinsic back

The inferior parts of latissimus dorsi, one of the muscles of the upper limb, arises from the posterior third of the iliac crest. Its action on the shoulder joint are internal rotation, adduction, and retroversion. It also contributes to respiration (i.e. coughing). When the arm is adducted, latissimus dorsi can pull it backward and medially until the back of the hand covers the buttocks.

In a longitudinal osteofibrous canal on either side of the spine there is a group of muscles called the erector spinae which is subdivided into a lateral superficial and a medial deep tract. In the lateral tract, the iliocostalis lumborum and longissimus thoracis originates on the back of the sacrum and the posterior part of the iliac crest. Contracting these muscles bilaterally extends the spine and unilaterally contraction bends the spine to the same side. The medial tract has a "straight" (interspinales, intertransversarii, and spinalis) and an "oblique" (multifidus and semispinalis) component, both of which stretch between vertebral processes; the former acts similar to the muscles of the lateral tract, while the latter function unilaterally as spine extensors and bilaterally as spine rotators. In the medial tract, the multifidi originates on the sacrum.