Exemplary microfracture pick systems may include a microfracture pick, a strike plate, and a punch extension. The strike plate may be secured to a handle of the microfracture pick, and the punch extension is connectable to the strike plate. The punch extension is configured to apply an “off-axis” impact force to the microfracture pick. The “off-axis” impact force is generally aligned with an axis of a strike tip of the microfracture pick, thereby substantially preventing the strike tip from skiving across a bone surface during surgical uses.