This study was performed to evaluate the accuracy of MRI with sagittal oblique planning to additional sequences includes Proton Density (PD) fat saturated and Diffusion Weighted Imaging (DWI) correlated with Apparent diffusion coefficient (ADC) mapping for Anterior Cruciate Ligament (ACL) knee imaging. The data of this study was collected from a patient with knee joint diseases from the radiology department in the King Salman Hospital in the Hail Region. This study was done in the period from January 2022 to June 2022. It consists of Sixty-seven patients who conducted this retrospective study by 3T Siemens MR system. This study showed that, of the 67 (100%) patients, 23 (34.3%) patients were diagnosed with complete tears and 16 (24%) with partial tears. Among these traumatic patients, the diagnostic sensitivity and specificity for using approach C were (94%) and (95%) with a complete ACL tear and (90% and 96%) for a partial tear. With all interpretive conditions, Approach A represents lower statistical values. The sagittal oblique planning with PD fat saturated, DWI, and ADC map technique is helpful in many ACL abnormalities. Our data demonstrated that DWI-correlated ADC mapping is efficacious in the work-up of patients suspected to have ACL partial or complete tears according to its high sensitivity, specificity, and accuracy values. The appropriate use of sagittal oblique planning in managing ACL injury patient. DWI and ADC map sequence had a highly reliable diagnosis, mainly if there is a suspected difference between partial and complete tear or poor definition ACL.