Two rare cases of management of proximal phalanx spina ventosa

Tubercular dactylitis or spina ventosa is the tubercular infection of phalanges, metacarpals and metatarsals termed after cystic swelling short tubular bones by infection. Here we presented two rare cases in a 10 years old female 16 male patients. In both there was digits with stiffness. The radiographs were suggestive chronic osteolytic cortical destruction diffuse sclerosis. We managed them adequate surgical debridement, splintage anti-tubercular therapy good functional recovery. Spina condition often missed on diagnosis due to vague non-specific presentation, unavailability rapid diagnostic tests can be confused other mimicking diseases. Any over small hand feet should raise suspicion ventosa, especially endemic countries for tuberculosis. neglected infections, curettage followed based histo-pathological reports treatment choice high protein diet vitamin D supplementation ensures outcome.