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In certain instances, a fractured pinky toe may need additional treatment. Sometimes a complex fracture can occur, and the pieces of bone do not line up, one rotates, or there is significant separation.
A doctor may suggest a special shoe to wear if the foot or toes are very swollen. A cast (or even surgery) may be needed if the big toe is broken, a fracture involves a joint, or a lot of small toe fractures occur at once. A cast may also be needed if a bone in the foot or leg is broken in addition to the toe.