Bipartite Medial Cuneiform: A Rare Cause of Chronic Midfoot Pain in a Young Man

Bipartite medial cuneiform is a rare anatomical variant that results from the failure of fusion between two ossification centers, leading to a bipartition of the medial cuneiform. Although often an incidental finding, it can present with midfoot pain, particularly in the context of acute trauma or chronic overuse. We report the case of a 25-year-old man presenting with chronic, intermittent bilateral midfoot pain. Imaging findings revealed a bilateral bipartite medial cuneiform managed conservatively with orthotics and physiotherapy. This case highlights the importance of identifying this rare anatomical variant and its imaging characteristics to avoid misdiagnosis and guide appropriate management.