Ossicle of the meniscus is an uncommon discovery often misdiagnosed as a loose body, which may lead to intermittent knee discomfort. We present a rare case of meniscal ossicle accompanied by the medial meniscus posterior root tear. A 46-year-old female experienced intermittent left knee pain and after coming to the hospital was diagnosed with a meniscal ossicle. The patient underwent arthroscopic ossicle resection followed by meniscal root repair. The patient had not experienced any complications post-operatively and remains asymptomatic 8 months after the surgery. The purpose of this article is to expand the knowledge of meniscal ossicle and provide a broaden review of its diagnosis and repair.