Ankle impingement syndromes are categorised according to their anatomical site around the tibiotalar joint. Anterolateral, anterior and posterior ankle impingement has been extensively described in the orthopaedic and radiology literature with more recent studies describing posteromedial and anteromedial impingement. This article aims to demonstrate the potential spectrum of imaging findings for each ankle impingement syndrome as well as the relative contributions of ultrasound and MR imaging for diagnosis and image-guided treatment.