MRI PROFILE OF CLINICALLY SUSPECTED INTERNAL DERANGEMENT OF KNEE IN TERTIARY HEALTHCARE CENTRE

Introduction: Internal derangement of the knee is a common cause of pain and functional limitation, particularly in middle-aged and physically active individuals.While clinical examination and plain radiography are routinely used.Magnetic Resonance Imaging (MRI) has emerged as a reliable, non-invasive modality for detailed evaluation of ligamentous and meniscal injuries.To evaluate the MRI profile of clinically suspected internal derangement of the Aim: knee and to compare MRI findings with clinical examination and plain radiographs.This hospital-based Methodology: descriptive observational study was conducted in the Department of Radio-Diagnosis center from 2023 to 2025.A total of 92 patients aged ≥18 years with clinically suspected internal derangement of the knee were included.All patients underwent MRI of the knee using a 1.5 Tesla scanner.Clinical test findings, X-ray results, and MRI findings were recorded and analyzed using descriptive statistics.Most patients were aged 45 -60 years, with male predominance.Results: Farmers constituted the largest occupational group.Knee pain with swelling and restricted range of motion were the most common presenting complaints.Plain radiographs were normal in most cases.MRI detected a higher number of ligamentous and meniscal injuries compared to clinical examination, with ACL tears being the most common finding.Discussion: MRI demonstrated superior diagnostic accuracy over clinical examination and radiography, particularly in identifying subtle, partial, and degenerative lesions.It also aided in differentiating traumatic from degenerative pathology.MRI is an indispensable, non-invasive imaging modality and should be considered the Conclusion: investigation of choice for comprehensive evaluation of internal derangement of the knee.