England forward Maro Itoje has been ruled out England's Tests against South Africa, Fiji, Australia, and Argentina.

Itoje sustained a hand injury in the Champions Cup match between Saracens and Scarlets on Saturday. It's since been confirmed that the 21-year-old has fractured his hand  and will require surgery. He will play no part in the coming Tests.

Itoje's injury setback adds to England coach Eddie Jones's selection woes. Anthony Watson, Sam Jones, George Kruis, Mike Williams, James Haskell and Jack Clifford have already been ruled out of the November Tests due to injury.

England take on the Springboks at Twickenham on 12 November.

Photo: Dan Mullan/Getty Images