Summary

Chondral and osteochondral injuries of the knee and ankle are frequent causes of pain in the injured athlete. Failure to diagnose can lead to persistent symptoms and long-term disability. With the ability to directly demonstrate articular cartilage, MRI is the most sensitive noninvasive technique for identifying osteo-chondral injuries, but requires careful attention to image acquisition techniques, understanding of the MRI appearance of normal and injured cartilage, and a targeted examination of the joint based on patterns of soft-tissue injury.

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