Objective:​ To report how a case of isolated middle cuneiform dislocation is diagnosed mainly by suspicion and careful imaging.

Clinical presentation and intervention:​ 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.

Conclusion:​ 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