Objective To explore the value of MRI in diagnosing knee joint injury.Methods With the selection of 100 patients with suspected knee joint injury who visited hospitals from January 2020 to October 2022 as the study subjects,all patients underwent MRI and arthroscopy examinations.With arthroscopic examination results as the gold standard,the consistency between MRI diagnosis of knee joint injury types(included joint cavity effusion,meniscus injury,ligament injury)and arthroscopic examination results was analyzed,as well as the sensitivity,specificity,accuracy,and consistency with arthroscopic examination results in diagnosing knee joint injury.Results The results of arthroscopic examination showed that 86 out of 100 suspected patients had knee joint injuries,included 20 cases of joint cavity effusion,36 cases of meniscus injury,and 30 cases of ligament injury.The consistency rates between MRI diagnosis of joint effusion,meniscus injury,ligament injury and arthroscopic examination results were 95.00%,94.44%,and 90.00%,respectively,with a total consistency rate of 93.02%.The sensitivity,specificity,and accuracy of MRI in diagnosing knee joint injury were 90.70%,85.71%,and 90.00%,respectively,with high consistency with the results of arthroscopy(Kappa=0.648,P<0.05).Conclusion The consistency between MRI diagnosis of knee joint injury types and arthroscopic examination results is high,with high diagnostic sensitivity,specificity,and accuracy,and high consistency with arthroscopic examination results.