The application value of the convolutional neural network (CNN) algorithm in the diagnosis of sports knee osteoarthropathy was investigated in this study. A network model was constructed in this experiment for image analysis of magnetic resonance imaging (MRI) technology. Then, 100 cases of sports knee osteoarthropathy patients and 50 healthy volunteers were selected. Digital radiography (DR) images and MRI images of all the research objects were collected after the inclusion of the two groups. Besides, the important physiological representations were extracted from their image data graphs, and the hidden complex relationships were learned. The state without input results was judged through convolutional network calculation, and the result prediction was given. On this basis, there was an analysis of the diagnostic efficiency of traditional DR images and MRI images based on CNN for patients with sports knee osteoarthropathy. The results showed that the MRI images analyzed by the CNN model showed a more obvious display rate than DR images for some nonbone changes of osteoarthritis. The correlation coefficient between MRI image rating and visual analog scale (VAS) was 0.865, which was higher than 0.713 of DR image rating, with a statistical meaning ( P < 0.01 ). For cases with mild lesions, the number of cases detected by MRI based on CNN algorithm in 0–4 image rating was 15, 18, 10, 6, and 7, respectively, which was markedly better than that of DR images. In short, the MRI examination based on the CNN image analysis model could extract important physiological representations from the image data and learn the hidden complex relationships. The convolutional network was calculated to determine the state of the uninput results and give the result predictions. Moreover, MRI examination based on the CNN image analysis model had high overall diagnostic efficiency and grading diagnostic efficiency for patients with motor knee osteoarthropathy, which was of great significance in clinical practice.