|Osteoarticular TB occurs primarily by haematogenous spread from a primary focus like lung, kidney, lymph node, etc. or infrequently by contiguous spread from adjacent tissues of direct inoculation. TB of joint may be due direct invasion of synovium, e.g. Poncetâs arthritis. It may also affect nonweight-bearing joint such as wrist, elbow, and small joints of hands. The mode of transmission is haematogenous from visceral foci such as the lung, kidneys, lymph node or other viscera. The delay in diagnosis and treatment may result in additional bone or joint destruction, especially in patients with either of those diseases with septic arthritis due to infection caused by mycobactrial species. Therefore, it is important to understand the epidemiology, diagnosis and treatment of TB arthritis. In this study, we reviewed the epidemiology, diagnosis and treatment of TB arthritis.