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The site of the fracture will determine the course of treatment, if necessary, including the following:
Ankle joint fractures. These fractures may be serious and require immediate medical attention. Ankle fractures usually require a cast, and some may require surgery if the bones are too separated or misaligned.
Metatarsal bone fractures. Fractures of the metatarsal bones, located in the middle of the foot, often do not require a cast. A stiff-soled shoe may be all that is needed for support as the foot heals. Sometimes, surgery is needed to correct misaligned bones or fractured segments.
Sesamoid bone fractures. The sesamoid bones are two small, round bones at the end of the metatarsal bone of the big toe. Usually, padded soles can help relieve pain. However, sometimes, the sesamoid bone may have to be surgically removed.
Toe fractures. Fractures of the toes normally can heal with or without a cast.