A one year and nine month old female presented to clinic in September of 2009 and had twisted her left ankle in the direction of inversion 6 months before. She had symptoms of aching and mild swelling with activity along the lateral aspect of the left foot, per the patient’s parents, since the injury. Due to the chronic foot pain and mild swelling, her pediatrician was having her evaluated for Juvenile Rheumatoid Arthritis when she was also referred to our clinic. Her past medical history, medications, and allergies unremarkable. Pertinent family history included arthritis and hypertension.
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