Purposes: Sports injuries in the lower limbs were found to be more common among adolescent female athletes due to the physiological characteristics with growth and development. Sports training had great potential to reduce the risk of injuries and enhance sports performance in adolescent females, which was a worthy topic with in-depth discussion by coaches and athletes. Methods: A database search was conducted using Google Scholar, PubMed (MEDLINE), and Web of Science from January 2014 to November 2024 for studies related to sports injuries, sport injury prevention, and monitoring training load in adolescent females. Results: This literature review analyzed empirical studies on injury risk factors in different stages of growing devel-opment and analyzed the effects of injury prevention and performance enhancement through single-component training (such as balance training, plyometric training, and strength training) and multi-component training (such as neuromuscular training) in adolescent females, and methods for adjustment of training competition ratios and monitoring training loads. Conclusions: The change of knee abduction moment and knee abduction angle in adolescent females at peak height velocity were found to in-crease the risk of lower limb injuries. Additionally, and overlong training and competition times also increase sport injury prev-alence. This study suggested that injury prevention and physical conditioning programs should be specifically designed for ado-lescent female athletes. The single- or multi-component training, either prior to sport-specific training or as an independent ses-sion. Furthermore, monitoring training loads through session-RPE was emphasized to prevent overlong training durations and changes in training loads quickly.