Ankle tendons may be affected by a variety of pathologicconditions, including trauma and overuse, inflammatory andmetabolic disorders, or infections. Ultrasound is a very sensitivemeans of detecting tendinous pathology because of its spatialresolution and its comparative and dynamic capabilities. Its wideavailability makes it the preferred first-line imaging modality in thecase of ankle pain.Knowledge of the normal anatomy, the clinicalsymptoms, and the setting may help in the differential diagnosis.