Regardless, it appears Madson could miss a significant amount of time.
"We knew it was bad from the beginning," Sheridan said. "It is what it is. It’s not just like a little crack. It has a couple pieces to it."
Madson will have the surgery performed by Steven Raikin at the Rothman Institute. Raikin, a foot and ankle specialist, reviewed the results of the CT scan Monday and decided surgery was necessary. The Phillies could have let the fracture alone to heal, but the pins should help that process, Sheridan said.
Sheridan said the team will have to be creative with Madson's rehab so as to keep his arm in shape. Having the break come on his push off foot makes things challenging, Sheridan said.
"He's in a lot of pain," Phillies assistant general manager Scott Proefrock said of Madson.
Proefrock said the Phillies won't pursue another bullpen arm for now. A lot, he said, depends on how J.C. Romero and Brad Lidge do as their workload increases at the major-league level.
"We’ve got some moving pieces," Proefrock said. "I don’t think it necessarily puts us in a situation where we have to go acquire somebody."