Adolescent with Foot Pain

A previously healthy 14-year-old female presented to the emergency department because of a left foot injury. She reported “twisting” her foot while walking. She complained of left foot pain, but was able to ambulate with a limp. Physical exam was significant for soft tissue edema and isolated tenderness to the dorsum of the left foot in the region of the cuboid. She had full range of motion at the ankle joint without pain or tenderness and was neurovascularly intact. Radiographs were obtained and revealed cuboid subluxation (Figure).