By
SABC Sport
5th May 2025
Maddison, who has been a key creative force for Spurs this season, underwent a scan on the injury before the match.
Manager Ange Postecoglou admitted post-match that the early signs were not encouraging, hinting the setback may be more severe than originally anticipated.
The timing of the injury is particularly concerning, with Tottenham preparing for a huge Europa League semi-final second leg against Norwegian side Bodo/Glimt on Thursday. Maddison is now considered a serious doubt for that fixture.
"It doesn't look great," said Postecoglou.
"Just waiting for further information. Hopefully we'll get more clarity tomorrow but it's fair to say it's not looking promising."
On the game against West Ham, he added: "The beauty of today was a lot of guys got meaningful minutes. I think they showed they will be ready for Thursday.
"If we have to make a decision that means one of them starts I'll be more than comfortable doing that. I'm proud of the players. It's not easy, making so many changes.
"It's going to affect fluency and rhythm. Some of the players haven't played a lot regularly. Their efforts were outstanding. I'm glad they got some reward."
The upcoming clash is one of the biggest of Tottenham's season, and Maddison's potential absence is a major blow to their hopes of securing a place in the final.