A fracture at the end of a toe is usually caused by a smash injury. The bone at the end of the toe is damaged when the injury occurs, resulting in a fracture at the end of the toe. A fracture of the end of the toe may be characterized by pain, swelling, bruising and ecchymosis, and subcutaneous bleeding resulting in significant bruising and swelling. A fracture of the end of the toe can be treated conservatively, and in the case of a closed fracture, only foot braking is required for 4-6 weeks. Most fractures heal well with oral medication to promote healing and pain relief during the braking period. Toe fractures are treated as soft tissue injuries and have no sequelae, and should be diagnosed and treated early and aggressively.