James Maddison out for the majority of next season with ACL tear as Tottenham suffer nightmare injury blow – with star to undergo surgery

James Maddison is expected to miss almost the entirety of the new Premier League season after suffering an anterior cruciate ligament injury.

The Spurs playmaker, who was forced off on a stretcher after suffering a nasty blow to the knee during Tottenham’s pre-season clash with Newcastle last week, will now undergo surgery and begin his lengthy recovery.

Maddison, 28, suffered the injury during an innocuous challenge and Frank confirmed it was sustained to the same knee he had injured last season, a setback which saw him miss the Europa League final win against Manchester United.

He underwent several tests after arriving back in the UK, and the club’s initial fears that he had damaged his cruciate ligament have been realised.

It presents a nightmare for new Spurs boss Thomas Frank, who will now be without the influential midfielder for large portions of the campaign.

A Spurs statement read: ‘We can confirm that James Maddison will undergo surgery for a ruptured Anterior Cruciate Ligament (ACL) in his right knee.

We can confirm that James Maddison will undergo surgery for a ruptured Anterior Cruciate Ligament (ACL) in his right knee.

We will be supporting you every step of the way, Madders

— Tottenham Hotspur (@SpursOfficial) August 7, 2025

James Maddison is expected to miss almost the entirety of the new Premier League season

Maddison suffered an ACL injury during Tottenham’s preseason friendly against Newcastle

‘The 28-year-old midfielder suffered the injury during our pre-season friendly against Newcastle United on Sunday in Seoul.

‘His surgery will take place in the coming days and, following that, James will then begin his rehabilitation with our medical team.

‘Everyone at Tottenham Hotspur wishes James a full and speedy recovery. We will be supporting him every step of the way.’

More to follow. 

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