Abstract Arm wrestling as both a formalised sport and recreational pastime has increased in popularity in recent years. It is not without risks.

We report 3 cases that have recently presented at our hospital having sustained injuries to the distal humerus within the last year. We discuss their history, injuries sustained and subsequent treatment.

We discuss the supposed mechanism of injuries and review the literature

When assessing patients in A/E, the history of arm wrestling should be taken seriously as it is important to realise that severe bone injury can occur. However this is a low velocity mechanism and responds well with non-operative management.