James Maddison faces another period on the sidelines after picking up an injury against Newcastle on Sunday.
The England international went down against the Magpies and was forced off with a stretcher.
Maddison has often struggled with injuries at Tottenham since he joined the London club in 2023, but this looks like his worst yet.
In the aftermath of the Newcastle game, Maddison was spotted on crutches leaving the stadium, heightening concerns.
Now, Spurs fans anxiously wait to see how long the attacking midfielder will be absent for.
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This story includes exclusive opinion from football injury expert Dr Rajpal Brar.
Maddison ACL rupture on the cards after injury v Newcastle
So far into his Tottenham career, Maddison has almost missed 25 per cent of his available competitive matches.
Unfortunately, this now looks set to increase, with the start of the Premier League season just two weeks away.
While many fans are attempting to get clarity on how long Maddison could be out of the picture for, Dr. Brar has exclusively spoken to Tottenham Hotspur News, regarding the news as he fears an ACL rupture.
He said: “Worst case here would be ACL rupture, and he’s looking at nine-plus months for return to play – about 18 months for return to pre-injury levels.
“The best case here, which is highly unlikely based on reaction and Thomas Frank’s comments afterwards, is mild bone bruise or meniscus injury, which would be weeks or months.
“Based on mechanism, reaction and manager comments, I’m most concerned for an ACL injury.”
ACL rupture would likely end Maddison’s Tottenham career
If an ACL rupture is the extent of Maddison’s injury, it is hard to see how the attacking midfielder would ever revive his Tottenham career.
The attacking midfielder would be almost guaranteed to miss the entirety of the 2025/26 campaign and may never reach his previous heights once fully fit.
While the injury is no doubt a concern for Frank, the Tottenham manager would likely spend the remaining weeks of the transfer window searching for a potential replacement.
If this comes about, Maddison would certainly struggle to regain his place in the starting XI, and his Spurs career would surely come to an abrupt end.