Knee ligament injuries, particularly those involving the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL), pose significant challenges in the management of elite athletes. These injuries not only demand a high level of medical attention but also necessitate a multidisciplinary approach for optimal recovery and return to sport. The epidemiology of these injuries highlights a prevalence in sports that involve high impacts, rapid changes in direction, and significant physical contact, making them a common concern in the realm of sports medicine. The treatment protocols for knee ligament injuries vary depending on the specific ligament involved and the severity of the injury. While non-operative treatments can be effective for certain types of PCL, MCL and LCL injuries, ACL injuries often require surgical intervention to regain knee stability and function. The complexity of these injuries often requires a combination of surgical repair and rigorous rehabilitation to ensure a successful return to competitive sports. The overall goal in the management of knee joint ligament injuries in elite athletes is not only to return the athlete to pre-injury performance level, but also to implement other preventive strategies that will reduce the risk of future injuries. Training in proper techniques, conditioning programs tailored to specific sport demands, and the use of protective equipment are key to injury prevention.