SAO PAULO (AP) -- Uruguay captain Diego Lugano has been ruled out of the World Cup match against England on Thursday after a left knee strain intensified in recent days.
Scans showed that the 33-year-old defender does not currently require surgery, but it is unclear if he will be fit to face Italy in the Group D finale on Tuesday.
''Lugano hasn't been feeling very well lately. He had some pain,'' Uruguay coach Oscar Tabarez said through a translator on Wednesday. ''We thought it's just better he doesn't play because he feels pain in his knee ... and he has to recover. We will have to follow very closely how he improves in the next days to decide if he will play later.''
Uruguay and England both lost their Group D openers on Saturday.