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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.
Although fracturing a bone in your toe or forefoot can be quite painfulâit rarely requires surgery. In most cases, a fracture will heal with rest and a change in activities. Anatomy. The forefoot has 5 metatarsal bones and 14 phalanges (toe bones). There are 3 phalanges in each toeâexcept for the first toe, which usually has only 2. All the bones in the forefoot are designed to work together when you walk.