Tubercular osteomyelitis of distal ulna presenting as epiphyseal injury.

Tuberculosis (TB) continues to be a public health problem in both developing and industrialized countries. T.B can involve any bone theoretically but involvement of distal metaphysis and epiphysis is a rare presentation. We present a case of 11yr old female child who presented to us with pain and swelling in distal forearm and radiograph revealing an osteolytic lesion in distal ulnar metaphysic and volar displacement of epiphysis. Histopathology and BACTEC culture led us to a diagnosis. Awareness of atypical presentations of TB is most important in endemic areas to ensure proper management of such patients.