Samuel Inkoom cleared the ball out of the Ghana zone with a bicycle kick. He landed untouched and did not get back up. Inkoom was untouched, but had needed to be carried off on a stretcher.
It appeared to be a blatant waste of the remaining extra time.
That aside, the Americans played poorly in the extra time periods with sloppy touches being the general theme after regulation ended.
The US had a multiple scoring chances but did not take advantage of corner kicks and free kicks.
Jay Demerit fired an off balance shot off a corner kick in the last two minutes of the game, but shot went over the crossbar.
Ghana ran the clock down and took the victory, 2-1. Ghana knocked the Americans out by the same score during the 2006 World Cup as well.
The only remaining African country playing in the World Cup in South Africa will take on Uruguay, 2-1 winners over South Korea.