Ankle impingement is defined as a painful mechanical limitation of full ankle range of motion secondary to an osseous or soft-tissue abnormality. Soft tissue and osseous impingement syndromes of the ankle can be an important cause of chronic pain particularly in the professional athlete. Magnetic resonance imaging has opened new horizon in diagnosis, hence treatment of most of ankle joint lesions. It enabled the detection of a wide varieties of bone changes and variety of soft tissue disorders such as ligaments, tendons and synovial membranes.