Background:Traumatic knee injuries are a common occurrence in sports and physical activities, often leading to significant morbidity if not accurately diagnosed and treated. Magnetic Resonance Imaging (MRI) is considered a gold standard for evaluating soft tissue structures and detecting a wide range of pathologies within the knee joint. This study aims to assess the role of MRI in the comprehensive evaluation of traumatic knee joint injuries and its efficacy in guiding clinical management.Materials and Methods:This retrospective study included 120 patients presenting with traumatic knee injuries over a 12-month period. Patients underwent clinical evaluation followed by MRI scanning using a 1.5 Tesla MRI machine. Key structures assessed included the anterior and posterior cruciate ligaments, menisci, collateral ligaments, and articular cartilage. The presence and severity of injuries were documented, and MRI findings were correlated with clinical examination and arthroscopic findings where available.Results:MRI detected anterior cruciate ligament (ACL) tears in 45% of cases, meniscal injuries in 30%, and collateral ligament injuries in 25% of the study population. Additionally, bone bruising was identified in 20% of cases, while cartilage defects were noted in 15%. The sensitivity and specificity of MRI for detecting ACL tears were found to be 98% and 96%, respectively, with similarly high values for meniscal injuries (95% sensitivity and 93% specificity). MRI findings significantly correlated with arthroscopic findings (p < 0.01), validating MRI as an effective non-invasive diagnostic tool for traumatic knee injuries.Conclusion:MRI is a highly effective, non-invasive diagnostic modality for evaluating traumatic knee injuries, offering detailed visualization of both soft tissue and bone structures. Its use aids in the accurate diagnosis and management of knee injuries, helping clinicians plan appropriate therapeutic interventions. This study supports the use of MRI as a primary diagnostic tool in suspected cases of traumatic knee injury.