Boston Bruins star defenseman Charlie McAvoy remains hospitalized at Massachusetts General Hospital, dealing with a right shoulder infection and a significant AC joint injury, the team announced Wednesday. His status for the remainder of the 4 Nations Face-Off and the NHL season remains in doubt.

What Happened?

McAvoy, 27, one of Boston’s top defensemen, suffered the injury to his right acromioclavicular (AC) joint during Team USA’s Feb. 13 matchup against Finland. Despite receiving immediate treatment from Team USA's medical staff, led by Dr. Joel Boyd, McAvoy powered through and logged 19:27 of ice time in a huge win over Canada on Saturday night—delivering one of the tournament’s most talked-about hits on Connor McDavid.

But things took a turn when McAvoy returned to Boston and began experiencing worsening pain. After being evaluated by the Bruins' medical staff, he was ruled out for Monday’s game against Sweden, where Jake Sanderson(Ottawa Senators) stepped into his spot.

McAvoy Hospitalized, Undergoes Procedure

The Bruins later confirmed that McAvoy had been admitted to the hospital, where further X-rays, MRIs, and bloodwork revealed the infection. On Feb. 18, he underwent a surgical irrigation and debridement procedure at Massachusetts General. He is currently receiving IV antibiotics, but the team reports his condition is improving.

Tough Blow for Team USA

Team USA head coach Mike Sullivan, who is also McAvoy’s father-in-law, acknowledged that losing one of his best defensemen ahead of the championship game against Canada is a major setback.

"It’s tough. Charlie is a terrific hockey player and a big part of this team. He’s played extremely well in this tournament. When you lose players of that caliber, they’re not easy to replace," Sullivan said Tuesday. "I know how much this tournament meant to him, but we have capable guys, and this is a chance for others to step up."

Can Team USA Add a Replacement?

With McAvoy out, speculation has swirled about whether Team USA can add another defenseman. Tournament rules only allow roster additions if multiple defensemen are unavailable, meaning the U.S. would need another blue-liner to be ruled out before making a move.

There were initial reports that Vancouver Canucks star Quinn Hughes, originally on the roster but sidelined with an injury, could join the team in Boston as a replacement. However, ESPN’s Emily Kaplan reported Wednesday that Hughes recently traveled back to Vancouver and won’t make another cross-continent flight unless he’s confirmed to play.

What’s Next?

For now, McAvoy remains in the hospital, with no timeline for his return to the Bruins or Team USA. The Americans will now try to capture gold against Canada on Thursday without their top defenseman, while Boston anxiously waits for an update on his availability for the NHL stretch run.

Key Takeaways

• McAvoy hospitalized with a shoulder infection & AC joint injury
• Underwent surgery on Feb. 18, currently receiving IV antibiotics
• Ruled out for Team USA’s gold medal game against Canada
• Coach Mike Sullivan says it’s a huge loss but expects others to step up
• Team USA may not be able to replace him unless another defenseman goes down
• Quinn Hughes unlikely to join Team USA, despite speculation
• Bruins awaiting further updates on McAvoy’s return timeline

With the 4 Nations Face-Off nearing its conclusion, all eyes are on Team USA’s shorthanded blue line and whether they can pull off a championship win without one of their biggest stars. Meanwhile, the Bruins are left hoping McAvoy can make a full recovery before the grind of the NHL playoff push begins.