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Sunderland won't face Premier League action over late Patrick van Aanholt switch

Sunderland will not face action following Patrick van Aanholt’s withdrawal just 15 minutes before kick-off at Spurs on Sunday after the Premier League were satisfied with the medical reasons outlined in a note from the club doctor.

The Holland defender was told of his removal from the team during the warm-up by substitute Jason Denayer, who started in his place. Van Aanholt was clearly surprised at the news and appeared to boot away a ball in frustration before leaving the field.

He was not named among the substitutes but watched Sunderland’s 1-0 defeat from the dug-out at White Hart Lane.