Tuberculosis of the scapula

Tuberculosis of the scapula is a rare clinical entity. To the best of our knowledge, only four cases of tuberculous osteomyelitis of the scapula have been reported in literature till date. We report a case of tuberculosis of the inferior angle of scapula, which has been managed successfully with antitubercular drugs. This case also illustrates the difficulties in diagnosing tuberculous scapula as it has an insidious onset, paucity of constitutional symptoms, insignificant early radiographic findings and frequent absence of associated pulmonary involvement. A high index of suspicion is mandatory to avoid delayed diagnosis.