A medical puncturing serves for penetrating into a bone or a cartilage. It has a shaft and a tool carrier connected with its proximal end to a distal end of the shaft. The tool carrier has a puncturing tool being a punch or a multi-fracture chisel. The tool carrier is connected at its proximal end via a freely articulated joint to the distal end of said shaft. A stop limits a laterally pivoting movement of said tool carrier to a maximum angle of 45°.