Tottenham Hotspur midfielder James Maddison suffered a potentially serious knee injury during Wednesday's pre-season friendly against Newcastle United in Seoul, casting doubt on his availability for the upcoming Premier League campaign.

Distraught Maddison being stretchered off
Maddison appeared visibly upset as medical staff attended to him

The England international, who only entered the match as a 75th-minute substitute, lasted just nine minutes before collapsing in pain and requiring stretcher assistance. Club officials later confirmed the injury affects the same knee that kept Maddison out of last season's Europa League final.

"Football can be both beautiful and brutal," said Tottenham manager Thomas Frank. "Today we saw both - incredible scenes for Sonny but a potentially devastating blow for Madders."

The injury overshadowed an emotional farewell to captain Heung-Min Son, who received a guard of honor from both teams during his final expected appearance for the club in his native South Korea.

Reoccurring Injury Concerns

This latest setback compounds Maddison's fitness struggles, coming just months after recovering from a similar knee issue that sidelined him at the end of the 2024/25 season. The 28-year-old was photographed leaving the stadium on crutches, with further medical assessments planned in London.

Transfer Implications

The injury crisis deepens for Spurs, who:

  • Failed to secure Morgan Gibbs-White despite triggering his £60m release clause
  • Face Dejan Kulusevski's delayed season start due to surgery
  • Must replace Son's attacking output

While new signing Mohammed Kudus and emerging talent Pape Sarr provide temporary solutions, Tottenham's mounting injury list raises concerns about their ability to compete across multiple competitions this season.

With defensive duo Destiny Udogie and striker Dominic Solanke also nursing injuries, Frank's tenure begins under challenging circumstances as Spurs prepare for their Premier League opener on August 16.