Background:The present study was undertaken for assessing the benefits of Magnetic Resonance Imaging (MRI) for assessment of ankle injuries. Materials & methods:A total of 50 patients presenting with ankle pain were enrolled. Complete demographic and clinical details of all the patients was obtained. All the patients were referred for MRI assessment. Imaging was done with patient in a supine position with ankle by the side in neutral position. After obtaining localiser in all three orthogonal planes, the following sequences included: T1 and T2 weighted sequences in sagittal planes, PD weighted sequences in axial, coronal and sagittal planes and fat suppressed T2 or STIR sequences wherever indicated. After acquisition of images, data collection was done using an observation checklist and data collected was analyzed to achieve the objectives of the study. Results:While classifying lesions on the basis of tendon pathologies, it was seen that involvement of Achilles tendon, Flexor tendons, Extensor tendons and Peroneus tendons occurred in 20 percent, 16 percent, 10 percent and 26 percent of the patients respectively. Tendon lesions were evident on MRI in 72 percent of the patients. While assessing MRI findings of the tendon lesions, it was seen that Tenosynovitis, Complete rupture, Encased, Partial thickness tear and Tendinopathy occurred in 30 percent, 10 percent, 4 percent, 8 percent and 16 percent of the patients respectively. While overall distributing the MRI findings of the patients with ankle injuries, ligament injuries, tendon injuries, osseous injuries and joint effusion occurred in 36 percent, 72 percent, 10 percent and 52 percent of the patients respectively. Conclusion:MRI provide precise information about cartilage, tendon, ligament, bone marrow, joint effusion, skeletal and extra-skeletal masses. It has superiority in soft tissues over any other modality; this makes it a useful tool for surgeons to diagnose and to make treatment plans.