Vicario starts for Tottenham despite Italy rejection and surgery decision

Italy international Guglielmo Vicario has been named as a starter for Tottenham’s Premier League clash against Nottingham Forest on Sunday afternoon, despite recently turning down a call-up to the national team due to an operation he is due to have next week. 

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Why is Vicario starting for Tottenham but is not part of the Italy squad?

Vicario was not named in Gennaro Gattuso’s 28-player...