This study was undertaken to compare plain film radiography and magnet
ic resonance imaging in the assessment of hemochromatosis arthropathy
of the knees of ten patients with a biopsy-proven diagnosis. Both moda
lities enabled visualisation of bony degenerative changes; magnetic re
sonance imaging enabled additional visualization of deformity of both
cartilage and menisci. Magnetic resonance imaging failed reliably to c
onfirm the presence of intra-articular iron in the patients studied. N
o correlation was observed between synovial fluid magnetic resonance s
ignal values, corresponding serum ferritin levels, or the severity of
the observed degenerative changes.