Isolatedextra pulmonary tuberculous osteomyelitis of the phalanx is rare as compared to that of proximal bones. We report acase of tubercular osteomyelitis of the middle phalanx of the toe in a 74 year old lady, presenting as post traumatic chronic ulcer which is even morerare. The difficulty in diagnosis and the related problems, the need to have a high index of suspicion of tuberculosis as one of the causes of chronic foot ulcer especially in developing countries has been emphasized.

Key-words: Tuberculosis; Osteomyelitis; Phalanx; Toe.