Three minutes into extra time, a ball played behind the United States defense saw Asamoah Gyan beat Jay DeMerit and Stade Rennes teammate Carlos Bocanegra to the ball, with Gyan's half-volley into the top of the net from ten yards out giving Ghana a 2-1, extra time lead.
Gyan ran across the face of his club teammate and beat the defender to a ball that bounded behind DeMerit. Gyan held off DeMerit to finish past Howard, giving Ghana a lead in the 93rd minute.
It was Gyan's third goal of the World Cup, tying him for the tournament's lead.
Ghana continues to lead 2-1 in the 97th minute.