Magnetic Resonance Imaging of the Pediatric Knee

Magnetic resonance imaging (MRI) is an excellent modality for imaging the pediatric knee because of its superb soft-tissue contrast, multiplanar capability, and lack of ionizing radiation. The knee is the most common joint imaged by MRI in the pediatric population. The majority of studies are performed on older children or adolescents with pain and/or known trauma. There are variations of injury and patterns of injury that are unique to children. The knee of a child also may be studied by MRI for other indications, including tumor, inflammatory disease, and developmental abnormalities. It is important to have a systematic approach to analysis of the knee MR images. Analysis should include individual attention to bones, articular cartilage, muscles and tendons, soft tissues, neurovascular bundle, joint space, fluid collections, ligaments, and menisci.