Elbow joint tuberculosis arthritis is the rare presentation of extra–pulmonary tuberculosis. The elbow joint is the most frequently involved joint in tubercular infections of the upper limb. The reported incidence of elbow TB varies from 2 to 5% of all skeletal locations. This is a case report of rare presentation of extra–pulmonary tuberculosis in a previously fit and healthy 75–year–old female. At the end of treatment patient was improved symptomatically and regained full range of movement.