This looks very painful.
In an entirely accidental clash, USA goalscorer Clint Dempsey took a kick in the face from Ghana defender John Boye.
Dempsey was bleeding before he hit the ground and he was checked, and apparently cleared, of a suspected broken nose. With Jozy Altidore already off because of a hamstring injury, Jurgen Klinsmann will want to keep his other first class striker on.
We're sure he will be closely examined at half-time.