The invention relates to the technical field of communication equipment, and particularly discloses a sound conduction device. The sound conduction device comprises a mounting part, a metal elastic piece, a ceramic piece and a counterweight block, the mounting part comprises a mounting face and a transmission face which are oppositely arranged, the metal elastic piece is mounted on the mounting face, the ceramic piece and the counterweight block are both installed on the metal elastic piece, the counterweight block is located at one side of the ceramic piece, and the transmission face is used for being fitted with the arm of a user to transmit vibration generated by the ceramic piece to the arm of the user. According to the sound conduction device, a mode that the ceramic piece and the counterweight block are arranged on the metal elastic piece is adopted, the counterweight function of the counterweight block can be utilized, the sound spectral response range is increased, the sound conduction efficiency is improved, and therefore the sound effect is improved, and it is ensured that the user has good sound experience. The invention further discloses wearable equipment with the sound conduction device.