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Abstract Ankle pain is a common complain in orthopedic practice. The aetiology of ankle pain includes various pathologies such as tendon and ligament injuries, joint disorders, osseous lesions, and soft tissue pathologies. The aim of this study is to highlight the role of ultrasonography in assessment of musculoskeletal disorders of the ankle joint especially those related to ankle tendons and ligaments. This study included 60 patients presented with ankle pain. Comparative ultrasonographic examination of both ankles was performed in all cases and the results were correlated with other imaging modalities including plain radiography, CT and / or MRI. We found that; For ankle tendons: Achilles tendon is the most commonly injured ankle tendon followed by tibialis posterior tendon in the medial ankle compartment while those of the anterior compartment were the least encountered ones. Tendinosis was the most encountered tendon pathology followed by tenosynovitis. Compared to MRI, ultrasonography, in our study, yielded 100% sensitivity and 97.6 % specificity for tendinosis, 75 % sensitivity and 100 % specificity for partial tear, 100% sensitivity and specificity for complete tear, and 75 % sensitivity and 100 % specificity for tenosynovitis. |