During a 5 month period, 26 skateboarding and 10 in-line skating fractures were seen at our institution. The radius was the most commonly injured bone in both groups. Forty-two percent of skateboard fractures required reduction and another 16% required operative intervention. Epiphyseal fractures occurred in 42% of the skateboard riders who were skeletally immature. A greater proportion of high-energy fracture patterns was recorded in contrast to earlier reports. Also, a trend towards injuries occurring on the street, as opposed to home, has been noted. Skateboard riders continue to shun protective gear and hitting a surface irregularity is the most common cause of fall. In-line skaters, on average, wear more protective gear and are more likely to continue riding after their injury. Routine protective gear and avoidance of street riding should be encouraged. Instructions stressing balance and control as opposed to showmanship are recommended. Caution is given to first time in-line skaters, as this appears to be an injury-prone period.