Background: Traumatic knee injuries are prevalent in physically active individuals and significantly impact mobility and quality of life. MRI provides a non-invasive and highly sensitive diagnostic tool for evaluating soft tissue and osteochondral injuries.

Objectives: This study aims to evaluate the spectrum of traumatic knee injuries using MRI and to correlate imaging findings with patient demographics, mechanisms of injury, and clinical presentation.

Methods: A cross-sectional observational study was conducted on 100 patients aged 18–60 years with acute knee trauma. All patients underwent standardized clinical evaluation and MRI scans using a 1.5 Tesla system. Imaging findings were analyzed for ligamentous, meniscal, chondral, and osseous injuries and compared with clinical assessments.

Results: MRI detected anterior cruciate ligament (ACL) tears in 35% of patients, chondral defects in 30%, and medial meniscal tears in 25%. Mid-substance was the most commonly affected site in both ACL and PCL tears. MRI showed excellent diagnostic performance, with sensitivity and specificity values over 90% for ACL and PCL tears. Males (62%) were more affected than females (38%), and the age group 31–40 years was most commonly involved.

Conclusion: MRI is an indispensable modality in the evaluation of traumatic knee injuries, offering superior diagnostic accuracy and anatomical detail. Its integration into routine assessment protocols improves clinical decision-making and patient outcomes.