When it comes to head-on, rear-end, and side impact car accidents, injuries to the lower limbsĀ are quite common. Among them are injuries to the knee, and they may occur when the victim’s knee hits the steering column, dashboard, or other object. Types of injuries include: Anterior Cruciate Ligament Tear – An ACL tear is known as one of the worst knee injuries a car accident can cause. That’s because this ligament is responsible for holding the knee joint in place, and when injured, it can cause extreme long-term pain. Symptoms.