The main sequelae of malunion of the second metatarsal after fracture by direct or indirect violence are peripheral vascular and nerve damage, osteofascial compartment syndrome, and delayed healing. Vascular damage can be associated with weakened arterial pulsations or bleeding, and nerve damage can result in delayed foot motion and numbness and weakness. Although common in the lower leg and forearm, osteofascial compartment syndrome can also present with the 5P’s of pain, pallor, abnormal sensation or paresthesia, and pulselessness if the intracavitary pressure is too high at other fracture sites. Delayed healing is caused by damage to the peripheral blood vessels, which do not deliver nutrients to the site of injury, so there is not enough nutrients to restore the tissue. Prompt medical attention is recommended for any second metatarsal deformity healing.