Levine's shoulder injury forced him to pull out of his first tour with the Boston Symphony Orchestra and threatens his busy schedule at New York's Metropolitan Opera as well, the New York Times (NYSE:NYT) reported Monday.

Levine landed directly on his shoulder Wednesday when he tripped during an ovation after conducting Beethoven's "Ninth Symphony," the newspaper said.

"All the air got sucked out of the hall, and then -- dead silence," Managing Director Mark Volpe told the Times. "There are a million things he could have tripped on."

Polish conductor Marek Janowski and St. Louis Symphony Music Director David Robertson will replace Levine during the orchestra's five-city tour, which started today at New York's Carnegie Hall.