Billy Vunipola: Saracens forward out of England's autumn internationals

Billy Vunipola has suffered a third broken arm in 2018

Meanwhile, Billy's brother Mako has a calf strain and will be monitored, while Sarries second row Nick Isiekwe has an ankle strain.

Vunipola suffered the left arm break last weekend in a Champions Cup club match and will undergo surgery on Tuesday.

Brother and prop Mako Vunipola strained a calf and lock Nick Isiekwe sprained an ankle in the same match, putting their worldwide availability in doubt. Isiekwe suffered an ankle sprain and is waiting to be assessed by a consultant with regards to the full extent of the injury.

"Billy has fractured his left arm and will have surgery on Tuesday".

The injury comes not only as a huge blow to Saracens, but to England as well.

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Fast-improving Lock Isiekwe has already won three caps and would be pushing hard for Test time, barring injury concerns.

It also provides a further selection headache for England head coach Eddie Jones, particularly at No 8.

If Hughes is found guilty he could also miss England's November Tests, with the punishment for punching ranging from two to 10 weeks.

England have been unlucky with injuries, with lock Joe Launchbury ruled out after knee surgery last week while Bath fullback Anthony Watson and Exeter forward Sam Simmonds will also miss next month's games.

England take on South Africa at Twickenham on 3 November and then play New Zealand, Japan and Australia on the three subsequent Saturdays.



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