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Abstract Background: Knee pain is a common complaint after trauma that affects people of all ages. Knee pain may be the result of an injury which can affect any of the ligaments, tendons or fluid-filled sacs bursae that surround knee joint as well as the bones, cartilage and ligaments that form the joint itself. Requests for knee Magnetic Resonance Imaging (MRI) are most often made when the patient presents with a painful knee. Complete clinical examination is not possible in such situations as the patients cannot co-operate due to severe pain. There comes the role of non-invasive multiplanar imaging (Yadav and Kachewar, 2014). Aims: The aim of this study is to emphasize the value of magnetic resonance imaging (MRI) in patients with acute Knee pain caused by traumatic injury. Methodology: This study included 50 patients, 36 (72%) male and 14 (28%) female. Their ages range between 16-61 years (mean age 30.68±11.871 years). All presented by acute knee pain caused by traumatic injury and were referred to Radiology department of Ain Shams University Hospital for MRI examination after orthopedic consultation. Results: The current study included fifty patients complaining of acute traumatic knee pain, all of them (100 %) were with abnormal MRI findings. Regarding sex distribution, 36 patients (72%) were males, while 14 patients (28%) were females Conclusion: We conclude that MR imaging is the best imaging modality for diagnosis of acute traumatic knee pain as its provides the potential for rapid and definitive diagnosis and can be considered as replacing of other invasive modalities in patients of different acute traumatic knee injuries. Recommendations: We recommend further studies with much more population and to be further correlated with arthroscopy for more accurate results |