Thomas Frank described James Maddison’s injury as “brutal” after the midfielder was kidnapped on a stretcher on Sunday.
Maddison was withdrawn, a few minutes after his arrival, his head in his hands after collapsing on the field in a 1-1 draw with Newcastle in South Korea.
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He seemed to be distraught and the injury is a major concern for the Spurs before the new season, after seeing Captain Heung-Min fils to say goodbye to the club before leaving.
Maddison missed the end of last season with a knee injury and now seems ready for another spell on the sidelines after damaging the same knee.
Maddison looked distraught when he was removed (Getty Images)
Dejan Kulusvski will miss the start of the season and the Spurs missed Morgan Gibbs-White, which means that Thomas Frank was already short of creative players.
Frank said: “We are about sure that it was the same knee he injured before.”
He added: “I think that sometimes in life and football, things can be both beautiful and brutal. This is what we have had today.
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“It seems that with Madders a bad injury, then on the other side of the incredible scenes for his son of his teammates and the respect of Newcastle players.”
The complete extent of the injury will remain unclear until the club makes scans, although Maddison has been spotted “devastated” on crutches after the match.
Frank added to Spursplay: “We do not yet know the whole assessment of it, so we must see it.”
The Spurs face Paris Saint-Germain in the Super Cup next Wednesday before launching the new Premier League season at home in Burnley next Saturday.