Background: the knee joint is one of the most commonly injured joints in the body. Because of its complex structure, this joint is subjected to numerous pathologies and due to the recent increase in various sport activities; there has been a parallel increase in sport-induced internal derangements of the knee. Objective: the main objective of our work was to review several of the most common causes of AKP, with emphasis on their MRI findings with the goal of allowing more accurate diagnosis and grading of some of the most common pathologies, for understanding, better treatment and improvement of this common complaint. Patients and Methods: this study included 20 patients (13 females and 7 males). Their ages ranged between 10 - 70 years (average age 40.8 ± 5.83 years). All were presented by anterior knee pain and referred to Radiology Department of Ain Shams University Hospital or private centers for MRI examination after orthopedic consultation. Results: this study included 20 patients, with their ages ranged between 10-70 years, all of them were suffering from anterior knee pain. Conclusion: MRI is generally safe, accurate, and specific modality which has been proven to be the modality of choice in the diagnosis of different knee pathologies that cause anterior knee pain in different age groups