Manager Don Mattingly said team medical staff had advised ''no baseball stuff today'' and that a second round of X-rays would be taken Monday in Pittsburgh before a three-game series against the Pirates.
''It's OK,'' Mattingly said. ''It's still sore and I think a little bit swollen and obviously we're going to be cautious at this point.''
Andre Ethier was slated to start in right field and bat fifth on Sunday night.
Puig was hitting .308 with 12 homers and 52 RBIs in 92 games.
Matt Holliday was listed in the St. Louis lineup, batting third, a day after he was shaken up while diving back into second base on a pickoff attempt in the first inning. He was taken out for a pinch hitter in the fifth as a precaution.
''He went through everything,'' manager Mike Matheny said. ''It was just a matter of having a headache and he needed to go through some tests for us to make sure.
''We're being very cautious.''
Matheny said ace Adam Wainwright will pitch Tuesday against Tampa Bay, a week after his first career All-Star start. Matheny hasn't announced a starter for Wednesday.