• Red Sox first baseman Triston Casas sustained a significant left knee injury, requiring him to be carted off the field during a game against the Minnesota Twins.
• Manager Alex Cora described the injury as 'significant' and Casas was taken to a local hospital for further evaluation; the team expects to have more information soon.
• The Red Sox are considering internal options to replace Casas at first base, including Romy Gonzalez, Vaughn Grissom, and the less likely Rafael Devers, while downplaying a potential position change for prospect Roman Anthony.

Red Sox first baseman Triston Casas suffered a significant left knee injury during a game against the Minnesota Twins on Friday night. The injury occurred in the second inning when Casas awkwardly fell near first base while trying to beat out an infield single. He was stretchered off the field and taken to a local hospital for further evaluation. The Red Sox are now faced with the challenge of finding a replacement at first base, with internal options being considered.

• What: Triston Casas sustained a 'significant knee injury' during a game against the Minnesota Twins, leading to his removal from the game on a stretcher and subsequent hospitalization.
• Who: Triston Casas, Alex Cora, Romy Gonzalez, Joe Ryan, Ty France, Rafael Devers, Roman Anthony, Vaughn Grissom, Nathan Hickey, Abraham Toro.
• When: The injury occurred on May 2, 2025, during the second inning of the Red Sox game against the Minnesota Twins.
• Where: Fenway Park, Boston. Casas was taken to a local hospital for further evaluation.

The injury to Triston Casas presents a significant challenge for the Red Sox. Casas was expected to be a key contributor this season, and his absence leaves a void at first base. The team's internal options, such as Romy Gonzalez and Vaughn Grissom, have limitations, and moving Rafael Devers to first base is considered unlikely. While prospect Roman Anthony is performing well in Triple-A, the Red Sox appear hesitant to alter his development by changing his position. The situation could force the Red Sox to explore external options via trade or free agency.

"Seemed like he was in shock, to be honest with you. He said it right away that he didn't feel it. .... It's tough."

Triston Casas' 'significant knee injury' creates immediate uncertainty for the Red Sox. While awaiting further medical evaluations, the team is actively exploring internal solutions at first base. The injury could alter the Red Sox's plans and potentially lead to a reevaluation of their roster construction and player development strategies. The next few days will be critical in determining the severity of the injury and the Red Sox's response.