West Ham striker Gianluca Scamacca has suffered another blow in his stop-start first season in England.
The Italian forward, a £35million summer signing from Sassuolo, has been beset by injury and illness this term, and was openly criticised by manager David Moyes recently because he was not at a level to play games.
The 24-year-old has also been dropped by his representatives and is in danger of losing his place in the Italy squad.
Now Moyes has revealed Scamacca is sidelined by a knee injury which may require surgery.
'It's roughly the same squad,' Moyes said ahead of Wednesday's home game against Newcastle.