n the past three years, eleven cases were recognized as bowlingrelated sprots injuries. Three cases had lower extremity injuries and eight cases had upper extremity injuries. The lower limb injuries were related to gait and stnce in throwing. Most of the upper limb injuries were the result of inappropriate ball weight, holding holes of the ball as well as unskillful throwing. The radial and femoral shaft fractures were treated with internal fixation and healed uneventfully. The iliotibial hand friction syndrome, De Quervain’s disease and biceps tendonitis were treated with conservative methods with satisfactory results. A case with stenosing tenosynovitis was treated with A1 pulley release surgically. Two cases with ulnovolar neuroma of the thumb, rejecting tumor excision, were treated with local steroid injection. Without ceasing of the sport, local steroid injection won’t solve the problem. Knowing the mechanisms of bowling injuries is the key to prevention.