Data from 475 knee arthroscopies performed by an experienced knee surgeon between March 2017 and August 2018 at the IMS&SUM Hospital, Bhubaneswar, for ligament injuries, loose body removals, lateral release of the patellar retinaculum, plica division, and adhesiolysis was prospectively collected. A subset of 100 patients from the above group who sequentially had clinical examination, MRI and arthroscopy for suspected meniscal and ligament injuries were considered for the present study and the data was reviewed. Patients with previous menisectomies, knee ligament repairs or reconstructions and knee arthroscopies were excluded from the study. MRI was requested for confirmation of diagnosis and for additional information in all these patients. Two experienced radiologists reported MRI films. Clinical and MRI findings were compared with Arthroscopy as the gold standard. A thorough clinical examination along with KT-1000 performed by a skilled examiner more accurately correlated at Arthroscopy. A negative MRI did not prevent an arthroscopy. In this study, specificity, positive and negative predictive values were more favourable for clinical examination though MRI was more sensitive for meniscal injuries. The use of MRI as a supplemental tool in the management of meniscal and ligament injuries should be highly individualised by an experienced surgeon. Clinical tests used in the diagnosis of meniscal and cruciate ligament damage have limitations and it may not be possible to elicit objective signs repeatedly, more so in a busy orthopaedic clinic and being painful in an acute or sub-acute presentation. An accurate clinical diagnosis requires experience although difficult to quantify. Magnetic resonance imaging [MRI] has revolutionised the diagnosis and management of intra-articular pathology and ligamentous injuries. Being noninvasive and a highly sensitive tool of investigation, early and subtle changes in the soft tissues often are picked up by MRI. Arthroscopy being highly sensitive and specific procedure is both diagnostic and therapeutic, but is invasive. The aim of this study was to correlate the different modalities of diagnosis with arthroscopy as the gold standard and whether a negative MRI could justifiably deny an arthroscopy.