The main difference between a toe sprain and a fracture is the difference in nature, symptoms, and treatment. 1. Toe sprain: generally pure soft tissue injury such as ligament or muscle injury, without causing toe fracture. The main manifestations are congestion, swelling, pain, and limited movement. Generally only need conservative treatment. 2. Toe fracture: mainly due to the interruption of continuity of bone cortex caused by external force, there is bone friction sound or friction feeling when pressing the fracture site. It is characterized by pain and swelling of the toes and limitation of activities. In severe cases, it also causes deformity and misalignment. The treatment includes reduction and fixation, and in severe cases, surgical internal fixation is required. In addition, in imaging tests such as X-ray, the manifestations are also different and can be easily distinguished. Toe bone fracture is generally characterized by continuous interruption of the toe bone, poor or good alignment of the interrupted position, etc.; toe bone sprain generally does not have the above manifestations.