We report the MR appearance of a meniscal ossicle, which is an unusual
etiology for knee pain. The role of MR in differentiating a meniscal
ossicle from a loose body is presented, The MR images also demonstrate
d associated tibial cartilage thinning and a possible meniscal tear. T
hese MR findings led to arthroscopic treatment rather than conservativ
e management. A review of the literature on meniscal ossicles is also
presented.