A microfracture pick having features configured to aid a user in advancing the microfracture pick through bone. The microfracture pick has an elongated member with a proximal end, a distal end, a sharp, optionally angled tip disposed adjacent the distal end of the elongated member, and at least one engaging feature disposed at one or more locations on the elongated member for engaging a complementary feature of a strike instrument. By striking an impact surface of the strike instrument, the user can to produce a force that is translated via the elongated member of the microfracture pick through the tip, thereby making penetration of the tip through the bone more effective.
