James Maddison checked after knock in Tottenham's 3-0 loss to Brentford; fitness for Newcastle trip in doubt

James Maddison underwent medical checks after sustaining a knock during Tottenham Hotspur’s 3-0 Premier League defeat to Brentford over the weekend, with The Telegraph reporting he may be missing the club’s trip to Newcastle United on Saturday.

Tottenham opened the 2026-27 campaign with the 3-0 loss and are scheduled to return to action on Wednesday in the EFL Cup, facing Charlton Athletic in the second round before their second Premier League fixture against Newcastle. The club could be without Maddison for those upcoming games after he suffered a blow during the Brentford match.

Maddison came on as a substitute in the 68th minute, replacing Mikey Moore, and fell awkwardly on his shoulder after coming on, requiring medical attention on the pitch. The 29-year-old needed checks after the incident as he attempted to step up his comeback.

The appearance at Brentford was his first since he managed only three matches last season following a knee injury sustained during a pre-season exhibition against Newcastle. The article states Maddison has been recovering from an ACL rupture and has yet to start a game.

Further scans are planned to assess the knock and determine whether Maddison will be available for Tottenham’s next fixture. It remains unclear how long any absence might last pending those medical examinations.

A social media post accompanying the report read: "James Maddison needed checks on knock sustained in Tottenham's defeat to Brentford. The 29yo fell awkwardly on shoulder after coming on as he stepped up comeback. Hopes he'll be involved at weekend vs #NUFC 🔵⚪#SPURS #THFC @TeleFootball"

Tottenham face Charlton Athletic in the Carabao Cup second round on Wednesday and have Newcastle United as their second Premier League opponents; The Telegraph reported Maddison may be absent for the trip to Newcastle on Saturday.