Ankle impingement syndromes are painful syndromes of ankle joint and includes anterior bony impingement syndromes and anterior soft tissue impingement syndromes.Also there are posterior bony impingement lesions and posterior soft tissue impingement lesions. Ankle arthroscopy is very useful both in the diagnosis and treatment of the ankle impingement syndromes. It provides excellent result with lesser complications and shorter hospital stay compared to open surgery.