'Major setback' for the touring side as Atkinson leaves the field with a hamstring injury.
Gus Atkinson further complicated the injury concerns plaguing England after leaving the ground during Saturday's play in the Melbourne Test versus the Australians.
The pace bowler felt a problem in his left hamstring immediately following a delivery that he bowled at the MCG.
Team management stated Atkinson had experienced "tightness" and required time on the sidelines to undergo evaluation "in the coming hours".
The series decider of the series beginning on 4 January gets underway on Sunday, 4 January.
The English side has been without strike bowlers Mark Wood with a knee problem and another paceman with an abdominal strain during this series.
Matthew Fisher was brought into the squad as injury reinforcement.
The seamer had a tough time in the opening two Tests, claiming a mere a handful of scalps.
He was dropped for the Adelaide match, then recalled for the fourth Test to fill the void.
Surrey's Atkinson showed better form in Melbourne, taking two wickets during the host's first knock, before adding 28 while batting among just a trio of English batsmen to get into double digits.
Post a single over late on the first day, he returned on Saturday morning and removed Scott Boland taken by the wicketkeeper.
Unfortunately, on the final ball of that over, he sent down a change of pace to the batsman and promptly felt for his hamstring.
The English bowler was recalled for the Melbourne match after being left out the Adelaide game.
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