A 13-year-old female soccer and basketball athlete presented with pain in the arch of her foot. Magnetic resonance imaging confirmed the diagnosis of a middle cuneiform stress fracture. The patient\'s stress fracture healed nonoperatively over a 10-week period complicated by nonadherence to a fracture boot, after which she was progressed back to full activity. Knowledge of these fractures and their treatment are important for sports medicine physicians, as they can often be overlooked, given their infrequent occurrence. There have been 8 previous case reports and 1 case series on cuneiform stress fractures, and these are summarized with this case report.

OBJECTIVE: To report how a case of isolated middle cuneiform dislocation is diagnosed mainly by suspicion and careful imaging.
METHODS: A 39-year-old male presented with localized foot pain after a sideways compression of the foot on ground. X-rays revealed an empty middle cuneiform site .CT confirmed the finding of an isolated middle cuneiform dislocation .He had operative reduction and stabilization, followed by a good foot function.
CONCLUSIONS: The diagnosis of such an injury should be kept in mind in patients while examining the foot injuries in general. Imaging including CT scan of the foot is necessary to confirm the diagnosis and to plan for the surgical treatment. The case was presented to highlight the need to watch out for them and care for them at the earliest.