 Hello, everyone. I'm Dr. Ramiya, Junior Resident of Myosemite College, Department of Radiative Analysis. Thank you for your technology for giving an online platform to present my paper on Titan Role of Magnetic Resonance Imaging in Irrigation of Traumatic Ankle Injuries. Coming to introduction, Traumatic Injuries are the most common musculoskeletal injuries and accounts approximately 10% of all visits to emergency department. Ankle injuries can happen to anyone at any age, most commonly between 50 to 24 years old, and have higher rates of ankle sprain compared to the women older than 30 years who have higher rates than men. Half of all the ankle sprains occur during an athletic activity. The most common now, ankle injuries are sprains and fractures, which involves ligaments, bones in ankle, but can also tear or sprain tendon. Magnetic resonance imaging is most accurate diagnostic procedure for evaluation of traumatic ankle injuries like ligamentous injury. The diagnostic accuracy of MRI ultrasound and stress radiography, when compared to a gold standard, arthroscopic surgery was found to be 97, 91, and 67% respectively in determining tiers of antiretile or fibular ligament. Accurate localization of the tiers are achieved in 93% of cases when MRI was used as diagnostic modality, but is ultrasound only localized in the 63% of cases. Coming to aims and objectives, to assist the various magnetic resonance imaging features of traumatic ankle injuries and to characterize the ankle injuries based on MRI features, materials and methods. The main source of data, this is a descriptive study on the patient who has clinical suspicious of ankle injury, following trauma referred to our department, which is attached to the Piyar-H hospital, Myso-Medical College. Most of the cases are report from the orthopedics department. Time period is January 15 months from Jan 2021 to March 2022. Study type is descriptive study and sample size was 55. Sample size was calculated using a simple proportion formula with 95% level of confidence, 80% power and privilege of high percent with 8% absolute error. The inclusion criteria were patient presenting with history of ankle sprain following trauma, patient who are referred to the clinical suspicious of ankle injury, who has given a return consent for our present study and patient of all age groups were included under the study. Exclusion criteria, patient with history of non-traumatic ankle sprain, which includes an infectious causes or metabolic or tumor or any surgeries to the ankle joint. Patient with a pyrometallica, implants or pacemakers or aneurysm scripts were excluded from the study. Patient with claustrophobia was a relative contra-education and patient not willing to give a return consent were excluded from the study. The results and discussion. The present study of mine, which included 55 patients, mainly ranged between the 19 to 76 years old and most of them come under the age group of 21 to 30 years. It's around 38% and me age group were 37.2. And this result was uh concordant with the previous studies of ash, ashwain and it's uh and the core members which include 50 patients with ankle pain and majority of the patient with ankle pain were between the age group of 20 to 30 years and gender distribution mainly the male population were commonly affected that is around 67.3% and female were 32%. The MRI diagnosis of different pathologists. In my study the most common pathology was the ligamentous injury which occurred in 83% of cases. Then the second most common was the joint effusion which occurred in 67.3% of the cases followed by the tendon injury sorry followed by the bone injury then the tendon injury. Types of ligamentous injury the type one sprain was most commonly seen in 71% of the patient but 71% of the patient which is followed by the partial tear around 22% of the cases and your complete tear was very rare and not seen only in one one of the patient that is according for 1.8% of the patient. Based on the site of ligamentous injury among the study population the most common ligament in the US is lateral collateral ligament followed by the followed by high ankle injuries then the medial collateral ligaments. Based on the distribution of the ligamentous injury in the study most common ligament injury is anti-natal fibula ligament which accounts for 56% of 4 cases followed by calcino fibula ligaments account for 45% of the cases. Other ligamentous injuries were as followed as given on the graph. Distribution and pathological classification of lateral ligamentous injury based on the study was as I already said anti-natal fibula ligament is a common ligament injury as such and in our case also in our study also this is the most common reported injury. Distribution of actually tendon injury based on the age group in this present study that's actually tendon tendon were the most commonly in men compared to the female and the age group with distribution is between 32 to 65 years with mean age group of 51 years. Similar reasons were seen in Karat and Etton where we age group the patient with actually tendon injury was 40 years with male predominance. Different bone injuries diagnosed by MRI the most common injury is the condition is the most commonest followed by the fractures. Different bone injury identified in our study was as I said condition in 23% of the cases and fractures in 12% of cases osteocondylation and osteonecrosis in 3% of the cases. Coming to the image gallery, this is the case of the complete anti-natal fibula tear. This complete disruption of the anti-natal fibula fibers of the right ankle joint with surrounding signal intensity. This is the T2 image and PD image. Partial tear of anti-natal fibula right posterior talo fibula ligament. There is an increased signal intensity with partial thickness tear of anterior and posterior talo fibula ligaments of left ankle with mild fluid condition. Partial tear of calcular fibula ligament. We can see there is an increased signal intensity along the tachylofibula ligaments of left ankle. Grade 1 strain of deep layer of deltoid ligament. There is an intersubstance T2 and stirring ages shows a hyperintensity in the deep layer of the right deltoid ligament such to contusion of medial and also there is a contusion of medial malular and talus. Actually stand on tendinosis. Next case is the complete tear of actually stand on. There is a complete disruption of the actually stand on fibres measuring approximately for length of 3.6 centimetre and side to insertion. Well appreciated on PD images. And this retracted end-dot is filled with a high signal high signal intensity edema. Conclusion. The unique anatomy of the ankle and its functional relationship with the food make it highly suspicious to injury in addition to the terrorist history and clinical examination. Images is needed for the diagnosis and to create a plan of care in a patient with ankle injuries. Different imaging modality are used to evaluate and to joint including plane radiograph, CT, ultrasound and MRI. MRI is a unique capability to evaluate cautious ligaments, tendinous and muscular injuries around the ankle in a single imaging study. Yamarai also allow characterization of the injury based on known biomechanical pattern. Yamarai is a modulative choice in evaluating ankle injuries due to a high soft tissue contact resolution and multiplayer capabilities. It provides a non-invasive tool for diagnosis of ankle injuries which are often difficult to diagnose with alternate modality. These are my references. Thank you.