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Anatomy and Physiology. Internal derangement of the knee is a mechanical disorder of the knee which interferes with normal joint motion and/or mobility. A fragment of soft tissue or bone that suddenly becomes interposed between the articular surfaces is the classic cause of internal derangement.natomy and Physiology. Internal derangement of the knee is a mechanical disorder of the knee which interferes with normal joint motion and/or mobility. A fragment of soft tissue or bone that suddenly becomes interposed between the articular surfaces is the classic cause of internal derangement.
Best Answer: Melissa, an internal derangement of the knee simply means that something internal is not working correctly. An ultrasound is limited in its capacity to see all of the structures within the knee.So a recommendation was made of an MRI. This will show you all of the internal structures of the knee.his Site Might Help You. RE: What is internal derangement in a knee? So I am a 16 year old female dancer and about a month and a half ago I really hurt my knee. I went to a walk in clinic and they sent me to get an ultra sound. This is what they said in the review...