Misdiagnosed sternoclavicular tuberculosis presenting as a non-healing ulcer

Even in endemic areas, the sternoclavicular joint (SCJ) is a rare site for tuberculosis (TB), with reported rates of only 1%–2%.[1 2][1] This rarity, accompanied by non-specific symptoms, minimal clinical signs, and complexity in interpreting the X-rays, causes many cases to be missed.[3][2]