Abstract The harm of head injury in skateboarding is more serious. The common injury cause is fall, collision, high speed impact. The primary types of injury include skull fracture, subdural hemorrhage, brain laceration contusion and concussion. Older children and adolescents, males, longboard, inappropriate sports venue are important risk factors for severe traumatic brain injury. Designing special skateboard parks and wearing protective equipment (helmets) can effectively reduce the incidence and severity of head injuries. The occurrence of injury can be reduced by adopting both legislation and education measures.