Motorsport is a high-risk sport with the permanently increasing number of participants and therefore increasing number of foot and ankle injuries. The most common mechanism for loss of control of a motorcycle is a collision with an immovable object (e.g., trees or rocks). According to the trauma different types of injuries (fractures, ligamentous injuries and muscle strains) can appear. Severe and complex injuries like multiple fractures or combined lesions can be caused by high speed and high-energy impact forces. Intraarticular fractures as well as complex fractures require anatomic reduction and osteosynthetic fixation, while ligamentous injuries and non-dislocated fractures often can be treated conservatively. A functional rehabilitation program is recommended to return to sport as fast as possible.