Professional and recreational sporting activities have increased substantially in recent years and have led to a rise in the number of sports-related and overuse injuries. Magnetic resonance (MR) imaging has become an important tool for evaluating the lower leg for providing the necessary information for patient management and rehabilitation following this injury. The purpose of this essay is to give an overview of the MR findings of common overuse injuries and sports-related injuries to the bones and soft-tissue structures of the hind foot and ankle.