The occurrence of tuberculosis in the flat bones of chest and skull is very rare. With the resurgence of tuberculosis all over the world, there have been reports of unusual sites being affected by the disease. However, cases of clavicular or sternoclavicular tuberculosis are few. The rarity of occurrence of tubercular arthritis of the sternoclavicular joint can be attributed to the peculiar blood supply of this joint. The common conditions, which have to be differentiated from sternoclavicular tuberculosis are low grade pyogenic infections, rheumatoid disease, myeloma or secondary deposits. This is confirmed case of tuberculosis in a 46year old Indian male.
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