Tuberculosis has been known to affect mankind since the dawn of human civilization and still remains a major problem in the developing countries. Extra pulmonary TB accounts for up to one–third of all cases and can be encountered in various organ systems like lymph nodes , genitourinary tract, skeletal system. Children shows a higher predisposition to the development of extrapulmonary tuberculosis. Osteoarticular involvement occurs in 1 to 3% of patients with extra pulmonary tuberculosis and spine represents fifty percent of these lesions. According to sites of predilection involvement of foot comes after spine, hip and knee. In foot the lesion involves calcaneum, talus, first metatarsal and navicular bones in decreasing order. prompt diagnosis and treatment of this curable disease remain critical for initiation of proper management prevention of joint deformity and permanent bone destruction.