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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 cast (or surgery) may be needed if the big toe is broken, a fracture involves a joint, several small toe fractures occur at once, or if a bone in the foot or leg is broken in addition to the toe. Reduction for a broken toe