Aim: To assess the pattern of new cases referred to fracture clinic at a large paediatric university teaching hospital.Materials and Methods: The study was carried out over a four-week period in May and June of 2010. A total of 864 patients were seen during this period, which included 310 new cases and 554 follow up cases. The radiographs and reports were analysed to collect the data. Results: Two hundred and ninety two new cases were analysed as 18 cases did not have radiographs available. One hundred and one (34%) cases did not have any fractures and 14 (5%) were suspected fractures. Fractures of the distal radius and ulna were the predominant cases (23%) followed by hand fractures (15%).Conclusion: Significant number of patients (34%) did not have fractures. Considerable amount of time can be saved especially in a busy fracture clinic if protocols are developed to manage new referrals.