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Knee injuries are common at all levels of sporting activities, and range from minor to severe. Studies indicate that MRI is a reliable and cost-effective diagnostic tool in evaluating the extent of acute knee injury. A systematic approach to the assessment of key structures, including bone, cartilage, menisci, and ligaments requires detailed knowledge of normal anatomy and anatomic variants, as well as the expected MRI appearance of injury. In addition, using mechanism-based injury patterns can help in recognizing the complete extent of complex knee injuries.

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