USMNT midfielder James Sands is set to be out indefinitely after undergoing surgery on what has been called a “complex ankle injury”. The midfielder, 24, is on loan from New York City FC to Bundesliga side St Pauli having made the move in the winter window last month.

United States defensive midfielder James Sands faces a lengthy layoff with a serious right ankle injury and broken calf bone sustained while playing for St. Pauli.

New York City FC and United States Men's National Team midfielder James Sands underwent surgery to repair a significant injury to his right ankle and will be out indefinitely.

NYCFC midfielder James Sands underwent surgery to repair a complex right ankle injury involving a fractured fibula and a torn medial collateral ligament, the team announced Sunday. The 24-year-old American suffered the injury while on loan with German Bundesliga side St.

"It looks really, really bad. I can confirm that there is something wrong with his ankle," Blessin said at his post-game press conference. "At first I thought he had stretched his knee and that was why it was a knee injury.