Over the past five decades, artificial turf has become an increasingly prevalent playing surface for many students across the United States. Overtime, it has undergone numerous advancements to improve its performance, maintenance, and safety. However, despite these improvements, concerns persist regarding the potential risk of injuries associated with its use. This secondary research examines whether participation on artificial turf contributes to a heightened risk of non-contact lower-extremity injuries. A literature search was conducted using key terms such as “artificial turf,” “natural turf,” “lower-extremity,” “non-contact,” and “risk,” with PubMed serving as the primary database. The findings suggest a greater incidence of non-contact lower-extremity injuries among athletes competing on artificial turf compared to natural grass surfaces. These results support the need for governing bodies and sports organizations to acknowledge this increased risk and implement measures to enhance athlete safety. Based on these findings, recommendations have been proposed to modify artificial turf systems to reduce injury risk. With appropriate modifications, artificial turf may become a safer alternative for athletic competition, minimizing the risk of non-contact lower-extremity injuries.