Background: To study internal derangements in traumatic and degenerative knee. Materials and Methods: One hundred patients with knee complains referred from orthopaedic department after clinical examination, suspected to have meniscal, ligamentous and intra-articular pathologies were studied using GE Signa 1.5 T MR machine. Images were obtained in sagittal, axial and coronal planes using T1, T2 and PD sequences. Slice thickness of 4mm, FOV of 19 x 19 and NEX of 4 were used. Results: Anterior cruciate ligament (ACL) tears accounted for the major cases (63%) followed by Medial meniscal tears (57%), lateral meniscal tear (36%), PCL tears (15%), MCL tears (10%) and least common LCL tears (7%). Hyperintensity, discontinuity and non-visualisation were primary signs of ACL tear. Meniscal tears seen commonly are grade II in both medial and lateral meniscus. Conclusion: Because of its better soft tissue delineation, non-invasiveness and radiation free imaging, MRI is the best investigation for the assessment of ligamentous, meniscal and intra-articular knee pathologies. It provides an accurate preoperative anatomic assessment, thus aids clinical examination and arthroscopy.