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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.
An X-ray may be ordered to evaluate if the toe is broken or fractured. I would also recommend an evaluation if there is a possible open fracture which includes (sores, redness, open wounds, drainage near the broken toe; (2) numb, tingling, or unusual sensation in the toes; (3) blue or gray colored skin near the injury.