The PowerPick and PowerPick XL instruments provide a fast and easy method for performing microfracture procedures using the SynergyResection™ shaver system. The PowerPick instrument has a drill depth of 4 mm and the PowerPick XL instrument has a drill depth of 6 mm. The additional 2-mm depth allows for adequate penetration into subchondral bone when perpendicular positioning of the drill tip is difficult to achieve. PowerPick instruments have many applications, such as microdrilling lesions within the knee, ankle, or shoulder prior to BioCartilage® supplementation; microdrilling the femoral notch footprint for an ACL repair to promote bone-to-tendon healing (see Figure 1); and microdrilling the greater tuberosity prior to a rotator cuff repair or a superior capsular reconstruction.