Background: The use of magnetic resonance imaging (MRI) enhanced the examination of musculoskeletal disorders in the ankle joint.
Objectives: This study aimed to evaluate the effectiveness of MRI imaging in assessing traumatic ankle injuries. Change to patients with acute and chronic ankle injuries.
Patients and methods: This descriptive work included 50 participants aged from 7-71 years, presenting with clinical symptoms of ankle swelling, pain, or movement restriction due to trauma, acute and chronic symptoms were included due to traumatic etiology.  
Results: The mean age was 40 ± 18.38 years, there were 28 (56%) males and 22 (44%) females. Joint effusion, sinus tarsi syndrome, bone lesions, and tendon injuries were insignificantly distinct among acute group and chronic group. Ligament injuries were significantly different as greater in acute group contrasted to chronic group (P=0.039). Joint effusion, bone lesions, ligament injuries, tendon injuries were insignificantly different between <30 Y and ≥30 Y groups. Sinus tarsi was significantly higher in ≥30 Y group than <30 Y group (P=0.015). Joint effusion, sinus tarsi, bone lesions, ligament injuries, tendon injuries were insignificantly different between male and female groups. 
Conclusion: MRI is the diagnostic tool for different traumatic ankle injuries. Owing to its rapid noninvasive imaging, high soft tissue contrast resolution, multiplanar capabilities, and lack of ionizing radiation. MRI is the diagnostic tool of choice for different types of traumatic ankle injuries, as it is beneficial for evaluating soft tissue structures surrounding the ankle, including ligaments, tendons, and fascia, as well as for finding hidden bone lesions.