The use of arthroscopy is now becoming a more accepted diagnostic and therapeutic tool for various joint disorders. In the knee joint for example, the use of arthroscopy has gained a leading role and has largely replaced the need for open surgery in various knee joint diseases. In some other joints, such as the ankle and wrist joint; the use of the arthroscope is still not yet developed to its maximum capacity. There are various ankle joint pathologies which if needed to be treated would require extensive approaches and might have serious morbidity. These include loose body removal, impingement syndromes, osteochondritis dessicans, and ankle arthritis. It seems that this list of pathologies is increasing due to the increased usage of the arthroscope and the better appreciation of the different soft tissue and bony pathologies that are present and can be managed through the use of the arthroscope. The aim of this study was to asses the use of the arthroscope in the management of various ankle joint pathologies, whether just as a diagnostic aid, or as the definitive therapeutic tool to deal with these different pathologies.