Bramble has been an impressive performer for the Black Cats this season after joining from Bruce's former club Wigan Athletic in the summer.
However, he was forced to miss Monday's Premier League game with Everton and was replaced for the 2-2 draw by Anton Ferdinand.
The 29-year-old has suffered a meniscus problem and Bruce is waiting to learn if the centre-half requires an operation.
"Titus has nicked the meniscus in his knee and may need an operation," Bruce told the club's official website.
Asamoah Gyan also sat out the Everton encounter after the striker hurt his thigh on international duty with Ghana last week.
Bruce added: "Asamoah picked up a thigh injury playing for Ghana."
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