Foot injuries most often occur in head-on collisions, but can occur in any type of car crash. The foot, toe, and ankle areas are composed of many bones, tendons, muscles, and ligaments. When a high impact crash occurs, the body naturally braces upon impact. This means the ankle and foot will receive the full force of the car’s impact and of the weight of the person’s body. This extreme tension near the ankle and foot area can cause severe damage to the tendons and ligaments, resulting in fractures and tears. In addition, any overwhelming pressure from loose automobile material hitting the vulnerable foot and ankle during a car accident can result in severed skin or puncture wounds, both of which can be very serious.