Intrameniscal ossicles of the knee are rare lesions. We present two ca
ses. The first case occurred in a male soccer player who had knee trau
ma, with radiographic findings of a meniscal ossicle. Meniscal motions
were normal, and symptoms resolved with conservative measures. The se
cond case was found in a male athlete with acute medial compartment in
stability and complex meniscal tears. His medial meniscus, containing
the ossicle, was removed. Initial conservative management is recommend
ed for all cases of meniscal ossicle, and arthroscopic resection of th
e ossicle is recommended for symptomatic cases.