West Ham go on the counter with Boa Morte and he bursts into the box but his cross is put behind by a Sunderland defender with Tristan and Dyer lurking behind him.

Leadbitter gets on the end of a rebound but his close range shot is cleared off the line by James Collins.

Dyer has looked very lively since taking the field and comes forward for his side, trying to take on Collins who puts the ball out for a corner.

Tristan digs the ball out inside the box and lays off Lopez on the edge of the box and his effort is deflected wide for a corner.

Walter Lopez reaches the byline and pulls a cross back looking for Tristan but Collins heads clear the danger.

A ball over the top finds Cisse but he thrashes his shot into the side netting from a very tight angle.

After the lengthy treatment for Spector the fourth official indicates there will be a massive eight minutes of time added on at Upton Park.

Tristan cuts in from the left flank and takes on Collins before trying to chip the keeper and it loops inches over the crossbar.

Edwards hits a long range grass cutter but Green is equal to the shot.

Tristan plays through Dyer who bursts into the box but the ball is just too far ahead of the winger and Gordon rushes off his line to smother the opportunity

Jones picks up the ball in a decent position and hits a shot on the turn but sends it high and into the stand behind the goal.

Sunderland are desperately trying to salvage something from this game but it is running away from them now and the West Ham defence continues to hold them off.

West Ham pass the ball around on the edge of the box and it runs through to Boa Morte whose left-footed shot is turned away by Gordon but only as far as Dyer whose close range effort is deflected wide for a corner.

Leadbitter lofts a free-kick into the mixer and Jones nods the ball down to Collins who tries an overhead kick but misses the ball.

Bardsley hits a shot from 20-yards and Green spills the shot dangerously before pouncing on the rebound.

West Ham are showing no signs of complacency in this game and are continuing to shut down the Sunderland players, giving them no time on the ball even in their own half.

Spector is still on the deck and is surrounded by his team-mates and paramedics who are gingerly trying to get him onto a stretcher.

Stretchers are coming on to the pitch now as James Collins prepares to replace Spector

Play stops for a few moments after a clash of heads between Spector and Ben-Haim. It looks serious with paramedics flooding onto the pitch and it does not look good for the USA International.

The visitors are struggling with West Ham set pieces and are giving them too much space in the box.

Noble finds Tomkins with another corner but this time his header is palmed away by Gordon. Sunderland clear the ball only as far as Stanislas whose low shot from 20-yards is well saved by the keeper.

Noble floats a free-kick towards the far post and finds Upson whose low header at goal is tipped wide by Gordon.

Tristan and Di Michele are linking up very well in the opening stages of this half and West Ham look dangerous as they move forward.

It really is an uphill struggle for Sunderland now and the West Ham youngsters are showing them how its done as Tomkins, like Stanislas, has netted his first senior goal.

Di Michele threads a pass into the path of Tristan whose shot from 20-yards is turned around the post by Gordon.

Di Michele turns on the edge of the box and curls a shot at goal but it bends around the post and wide of the target.

Stanislas picks up the ball and runs at Bardsley. He twists and turns inside the box before lifting the ball into the danger area looking for Di Michele but the cross is just behind the Italian and the move comes to an end.

Sloppy passing from West Ham and Bardsley picks up the loose ball before striking a decent looking shot from distance that forces a decent save out of Green.

Stanislas gets into a good position in the box and a team-mate tries to pick him out but Bardsley manages to clear the danger.

Great one touch football from West Ham before Di Michele gets a shot away and Gordon does well to turn the ball around the post.

Cisse tries his luck with a powerful shot from an acute angle and Green has to pull off a top drawer save to deny the French striker.

A long ball finds Whitehead in the box and he looks for a team-mate with a deft flick on but it rolls straight through to Green.

This game could still go either way and both sides have had chances to take the lead but the visitors have perhaps had the better of the opportunities so far.

Leadbitter has been lively this half and gets another strike at goal but it is straight down Green's throat and he makes a comfortable save.

Di Michele lifts the ball over the Sunderland defence and finds Ilunga in space but he fails to connect with the ball and it runs out for a goal kick

The home side put together a decent move involving Stanislas, Noble and Tristan but it eventually comes to an end as Tristan's back-heel finds a Sunderland shirt on the edge of the box.

Junior Stanislas cuts inside from the left flank and gets a low shot away but in the end it comes off Di Michele and rolls behind for a goal kick.

A long ball from West Ham catches the Sunderland defence off guard and David Di Michele finds space for a left footed shot on the edge of the box but hooks his shot wide of the target.

Malbranque moves forward with the ball again and this time tries his luck with a shot from outside the box but he fails to trouble Green.

Malbranque's in-swinger finds Danny Collins in the box but his looping header misses the target.

Steed Malbranque comes to life and runs at the West Ham defence and Matthew Upson is forced to concede a corner.

Phil Bardsley gets forward for Sunderland and reaches the byline but his cross is blocked by Herita Ilunga.

The home side are struggling to keep hold of the ball at the moment and seem to be struggling with some of the movement from Sunderland.

Leadbitter plays a neat one-two with Djbril Cisse and gets a shot away from inside the box but Green pulls off a decent save to deny the midfielder.

Grant Leadbitter lets fly from distance and the shot flashes just wide of Robert Green's post.

The visitors have managed to weather the early storm from West Ham and have a corner themselves but Diego Tristan heads clear Kieran Richardson's ball at the near post.

The Hammers earn themselves another corner but this time Noble's cross is too close to Gordon who plucks the ball out of the air.

West Ham gain some early momentum and win a corner, but James Tomkins header from Mark Noble's delivery is wide of the mark.