While cobblestone streets look amazing, they are a challenge to walk on -- especially when wearing skyscraper heels. Combine high heels, difficult foot terrain and nightlife traffic (with partying) -- there are bound to be some falling women.
The midfoot arch is particularly susceptible to injury when wearing high heels. The foot is not designed to function in this position, so when one trips or falls in high heels there can be excessive force placed on the midfoot, causing it to break or dislocate.